Periapical cemento-osseous dysplasia: case report

Resumo

Periapical cemento-osseous dysplasia is a pathologic
entity resulting from bone and cementum reactional process which
affects the periapical region of the anterior mandible. Its etiology is
not fully understood, but possibly it is related to an unusual bone
and cementum response to some local factor. Objective: The aim
of this study is to present a case of periapical cemento-osseous
dysplasia. Case report: A 50 years-old female patient sought for
dental care due to pain in the lower right premolar region. The
panoramic radiography revealed the presence of an extensive
radiolucent lesion with radiopaque areas located between the roots
of the teeth #43 and #35. Teeth presented vitality and it was not
observed any changes involving the periodontal ligament. Periapical
cemento-osseous dysplasia diagnosis was established through clinical
and radiographic features. Periapical cemento-osseous dysplasia
does not require any treatment unless complications occur. Patient’s
complaint of discomfort was related to occlusal imbalance and
was solved after the occlusion reestablishment. The patient was
radiographically followed-up for 12 months and the lesion exhibits
satisfactory signs of healing. Conclusion: The dentists need to be
aware of asymptomatic intra-osseous lesions affecting the anterior
region of mandible not to misconduct the diagnosis that could
compromise the patient’s oral health.