Abstract

Infected Periapical Cemental Dysplasia of the Mandible a Surgical Approach: Case Report

Highlights

  • Osseous dysplasias are non-neoplastic benign fibrous-osseous lesions that result from a localized change of normal bone in which all the components of cancellous bone are replaced by fibrous and cementum like tissues containing different amounts of abnormal appearing bone

  • A fibrous osseous lesion, diagnosed as Periapical Cemental Dysplasia had been noted on the chart as an incidental finding during the evaluation of a small full mouth survey taken 5 years earlier, everything had been found to be within normal limits

  • A Cone Beam Computed Tomography (CBCT) scan was taken to evaluate the lesion, size, location and vital structures associated with the it; A limited Volume maxillofacial non-contrast, thin slices (0.133μm resolution), Cone-Beam CT, 85 kV 10mA for 6s, (503mGy.cm2) of the left body of the mandible was taken

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Summary

Introduction

Osseous dysplasias are non-neoplastic benign fibrous-osseous lesions that result from a localized change of normal bone in which all the components of cancellous bone are replaced by fibrous and cementum like tissues containing different amounts of abnormal appearing bone. A 66 year old Asian Female presented to our office for her 3 month routine periodontal maintenance appointment, her health history was evaluated and the patient had been diagnosed with high blood pressure and epilepsy, conditions for which she was taking Depakote and Mavik, no history of Biophosphonate intake, heavy bleeding and suppuration was reported by the hygienist during probing at the location of tooth #19 (distal) (Figure 1).

Results
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