Diagnosis of periapical cemental dysplasia

Article information

Restor Dent Endod. 2005;30(1):66-71

Publication date (electronic) : 2005 January 31

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

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 2004 January 07; Revised 2004 April 08; Accepted 2004 June 26.

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

References

1. Forget AM. Dental anomalies and their influence upon the production of diseases of the maxillary bones. Dent Cosmos 1860. 1342.

2. Gottlieb B. Zementexostosen, schmelztropfen und epithelnester. Z Stomatol 1921. 19515.

3. Hamner JE III, Scofield HH, Cornyn J. Benign fibroosseous jaw lesions of periodontal membrane origin: an analysis of 249 cases. Cancer 1968. 22861–878.

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. 35340–350.

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

6. Stafne EC. Periapical osteofibrosis with formation of cementoma. J Am Dent Assoc 1934. 211822–1829.

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. 62340–344.

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

9. Chaudry AP, Spink JH, Gorlin RJ. Periapical fibrous dysplasia(cementoma). J Oral Surg 1958. 16483–488.

10. Scannell JM. Cementoma. Oral Surg 1949. 21169–1180.

11. Zegarelli EV, Kutscher A II. The cementoma. A study of 230 patients with 435 cementomas. Oral Surg Oral Med Oral Pathol 1964. 17219–224.

12. Wilcox LR, Walton RE. A case of mistaken identity: periapical cemental dysplasia in an endodontically treated teeth. Endod Dent Traumatol 1989. 5298–301.

13. Smith S, Patel K, Hoskinson AE. Periapical cemental dysplasia: a case of misdiagnisos. Br Dent J 1998. 185122–123.

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