Diagnosis of periapical cemental dysplasia

Soon-Young Lee; Chan-Young Lee; Byoung-Duck Roh

doi:10.5395/JKACD.2005.30.1.066

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Lee, Lee, and Roh: Diagnosis of periapical cemental dysplasia

Case Report

Journal of Korean Academy of Conservative Dentistry

Journal of Korean Academy of Conservative Dentistry 2005; 30(1): 66-71.

Published online: 31 January 2005

DOI: https://doi.org/10.5395/JKACD.2005.30.1.066

Diagnosis of periapical cemental dysplasia

Soon-Young Lee, Chan-Young Lee, Byoung-Duck Roh

Department of Conservative Dentistry, College of Dentistry, Yonsei University, Korea.

Corresponding author: Byoung-Duck Roh. Department of Conservative Dentistry, College of Dentistry, Yonsei University, 134 Shinchon-Dong, Seodaemoon Gu, Seoul, 120-752, Korea. Tel: 82-2-361-8716, operatys16@yumc.yonsei.ac.kr

Received 7 January 2004 Revised 8 April 2004 Accepted 26 June 2004

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Periapical cemental dysplasia(PCD) is a condition most commonly seen in the mandibular incisor region. Radiographically it passes through the three phases(osteolytic stage, intermediate stage, and mature stage). At osteolytic stage, the lesion is similar to features associated with granuloma or cyst that arise following pulpal necrosis. So, it is important to confirm the vitality of the pulp to diagnosis.

In this case, it is difficult to confirm the vitality of involved tooth because the tooth was covered with PFG bridge. And it is unusual that the PCD lesion at mandibular incisors has occurred at first and the lesion of mandibular canine and mandibular premolar were occurred afterward.

Keywords: Periapical cemental dysplasia(PCD), Diagnosis, Vitality

Figures and Tables

Figure 1

Periapical view of left mandibular canine (2003. 3. 13.).

Figure 2

Radiographic change: Apical region of left mandibular canine and premolar.

Figure 3

PFG bridge on #31-#33

Figure 4

Radiographic change: Apical region of mandibular incisors.

References

1. Forget AM. Dental anomalies and their influence upon the production of diseases of the maxillary bones. Dent Cosmos. 1860. 1:342.

2. Gottlieb B. Zementexostosen, schmelztropfen und epithelnester. Z Stomatol. 1921. 19:515.

3. Hamner JE III, Scofield HH, Cornyn J. Benign fibroosseous jaw lesions of periodontal membrane origin: an analysis of 249 cases. Cancer. 1968. 22:861–878.

4. Waldron CA, Giansanti JS. Benign fibro-osseous lesions of the jaws: a clinical radiographic histologic review of sixty five cases. Part II. Benign fibro-osseous lesions of periodontal ligament origin. Oral Surg Oral Med Oral Pathol. 1973. 35:340–350.

5. Neville BW. Oral and maxillofacial pathology. 1995. 1st ed. W.B. Saunders C;460–465.

6. Stafne EC. Periapical osteofibrosis with formation of cementoma. J Am Dent Assoc. 1934. 21:1822–1829.

7. Neville BW, Albenesius RJ. The prevalence og benin fibro-osseous lesions of periodontal ligament origin black women: A radiograohic survey. Oral Surg Oral Med Oral Pathol. 1986. 62:340–344.

8. Thoma KH. Oral pathology. 1954. 4th ed. St Louis: CV Mosby C;1201–1209.

9. Chaudry AP, Spink JH, Gorlin RJ. Periapical fibrous dysplasia(cementoma). J Oral Surg. 1958. 16:483–488.

10. Scannell JM. Cementoma. Oral Surg. 1949. 2:1169–1180.

11. Zegarelli EV, Kutscher A II. The cementoma. A study of 230 patients with 435 cementomas. Oral Surg Oral Med Oral Pathol. 1964. 17:219–224.

12. Wilcox LR, Walton RE. A case of mistaken identity: periapical cemental dysplasia in an endodontically treated teeth. Endod Dent Traumatol. 1989. 5:298–301.

13. Smith S, Patel K, Hoskinson AE. Periapical cemental dysplasia: a case of misdiagnisos. Br Dent J. 1998. 185:122–123.

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