Idiosyncratic Presentation of Cemento-Osseous Dysplasia – An in Depth Analysis Using Cone Beam Computed TomographyCorrespondence Address :
Dr. Sai Kiran Chennoju,
Senior Lecturer, Department of Oral Medicine and Radiology, G.S.L Dental College and Hospital,
Rajahmundry-533296, Andhra Pradesh, India.
Bone dysplasias comprise of a condition where the normal bone is replaced with fibrous tissue. Periapical Cemento-Osseous Dysplasia (PCOD) is a benign fibro-osseous condition where bone tissue is supplanted with fibrous tissue and cementum-like material. This condition affects mostly mandibular anterior region and rarely occurs in the maxilla. PCOD is seen above 30 years of age and has slight female predilection. Generally the teeth related to such lesions appear to be vital and are usually asymptomatic. These lesions are mostly seen during routine radiographic examination whose presentation may vary from complete radiolucency to dense radiopacity. The advent of Cone Beam Computed Tomography (CBCT) has brought a massive change in the field of dentistry which has become an important tool for diagnosis. Hence we hereby present an unusual case of cemento-osseous dysplasia in an unfamiliar location with an atypical presentation.The shape of the pathology was completely idiosyncratic and different from an orthodox lesion of COD, as the lesion was observed to grow out of the palatal surface with a prominent palatal expansion. This case highlights the importance of CBCT in radiographic diagnosis and in evaluating the characteristics of such lesion, which present with high diagnostic dilemma.
Cementum, Fibro-osseous lesions, Maxilla, Palate, Periapical
Sai Kiran Chennoju, Ramaswamy Pachigolla, Vanyaanya Mahitha Govadaovada, Satish Alapati, Smitha Balla. IDIOSYNCRATIC PRESENTATION OF CEMENTO-OSSEOUS DYSPLASIA – AN IN DEPTH ANALYSIS USING CONE BEAM COMPUTED TOMOGRAPHY. Journal of Clinical and Diagnostic Research [serial online] 2016 May [cited: 2018 Jun 23 ]; 10:ZD08-ZD10. Available from
Date of Submission: Sep 15, 2015
Date of Peer Review: Nov 07, 2015
Date of Acceptance: Mar 09, 2016
Date of Publishing: May 01, 2016
Financial OR OTHER COMPETING INTERESTS: None.
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