Focal cemento-osseous dysplasia involving a mandibular lateral incisor.

Abstract:

AIM:To report a case of focal cemento-osseous dysplasia (FCOD) affecting a single tooth misdiagnosed as an inflammatory periapical lesion. SUMMARY:The patient, a black 47-year-old woman complained of pain affecting the right side of the mandible. Routine X-ray examination discovered a periapical radiolucency on the mandibular left lateral incisor (tooth 32), which was otherwise normal and not carious. As the response of this tooth to a vitality test was doubtful, the lesion was diagnosed as a periapical granuloma or cyst secondary to pulpal necrosis. Endodontic treatment and curettage of the periapical lesion were performed, and histological examination of the curettage material revealed a localized osseous dysplasia. KEY LEARNING POINTS:FCOD may rarely affect only one tooth, resembling a periapical granuloma or cyst. Careful diagnosis is of paramount importance in cases of questionable periapical lesions affecting normal-looking teeth, before beginning treatment. FCOD generally requires no treatment. Biopsy is warranted in case of doubt.

journal_name

Int Endod J

authors

Galgano C,Samson J,Küffer R,Lombardi T

doi

10.1111/j.1365-2591.2003.00736.x

keywords:

subject

Has Abstract

pub_date

2003-12-01 00:00:00

pages

907-11

issue

12

eissn

0143-2885

issn

1365-2591

journal_volume

36

pub_type

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