Periapical Cemento-Osseous Dysplasia: Report of an Unusual Case Compromising The Cortical Buccal Area

Abstract

Periapical cemento-osseous dysplasia is a fibro-osseous lesion associated with a vital tooth apex, especially in the anterior lower jaw, for which it has a predilection. It commonly affects black women around age 40 years and is usually asymptomatic, self-limiting, and does not expand cortical bone. White man, 25, in October 2002 presented radiolucent images associated with the apex of the left mandibular canine and inferior incisors, all of which were vital on sensitivity testing and without a history of pain. The lesions were diagnosed as periapical cemento-osseous dysplasia. At an annual visit in August 2011, he complained of discomfort in the region of the left mandibular canine and lateral incisor. Cone-beam computed tomography showed the lesions extent had increased and the buccal cortical bone was disrupted. Close follow-up of cases of periapical cemento-osseous dysplasia is essential.