Fibro-osseous lesion: Periapical cemental dysplasia: A case report

Abstract

Fibro-osseous lesions are those in which, the normal bone is replaced by connective tissue. They fi nally transform into cemento-osseous lesions. Fibro-osseous lesions constitute various facial and long bones, which can be developmental in nature or reactive lesions. They mainly comprise of immature woven bone. A male patient visited with a chief complaint of discomfort in the lower left back tooth region since 5 years. An intraoral examination revealed missing tooth in relation to 35, gingival recession in relation to 36 and presence of periodontal pockets in relation to 41, 42. Intraoral periapical radiograph (IOPAR) revealed presence of well-defi ned radiopacity surrounded by radiolucent rim measuring 0.8 cm in diameter along the mesial root of 36 and cone beam computed tomography was advised, a fi nal diagnosis of periapical cemental dysplasia in relation to 31, 32, 33, 34, 36, 41, 42, 43 was made. Fibro-osseous lesions represent a spectrum of diseases which require a careful examination and detailed case history taking for arriving at a suitable diagnosis. Due their interrelating histological features, radiographic features help in diagnosing these lesions.