1/18. Laser Doppler flowmetry: an aid in differential diagnosis of apical radiolucencies.The case of a patient having 2 teeth with associated apical radiolucencies that responded to conventional pulp tests is presented. A decision was made to reexamine the patient at intervals rather than perform root canal treatment. During a recall visit, use of an available laser Doppler flowmeter allowed detection of blood flow within the affected teeth. A diagnosis of periapical cemental dysplasia (cementoma) was made.- - - - - - - - - - ranking = 1keywords = periapical (Clic here for more details about this article) |
2/18. Focal cemento-osseous dysplasia in the maxilla mimicking periapical granuloma.A case of focal cemento-osseous dysplasia of the maxilla in a 19-year-old man is reported. Clinically, the lesion resembled periapical pathosis of odontogenic origin. The clinical and histopathologic features of cemento-osseous dysplasia are reviewed.- - - - - - - - - - ranking = 5keywords = periapical (Clic here for more details about this article) |
3/18. Multiple cementomas (periapical cemental dysplasia). Report of a case.A case of periapical cemental dysplasia of maxillary and mandibular anterior teeth in a 48-year-old woman is presented, where the stages of calcification can be well documented.- - - - - - - - - - ranking = 5keywords = periapical (Clic here for more details about this article) |
4/18. Periapical cemental dysplasia: case report.The authors present a case of periapical cemental dysplasia affecting the mandibular left canine, with vital pulp, in a 43-year-old black female patient, an occurrence that follows the classical cases found in the literature. The need of a careful history, clinical and radiographic exams and vitality tests are emphasized in order to reach the correct diagnosis of this disease.- - - - - - - - - - ranking = 1keywords = periapical (Clic here for more details about this article) |
5/18. Developing cementoblastoma: case report and update of differential diagnosis.The benign cementoblastoma is a rare odontogenic tumor that tends to occur in the jaws of young people. It is most commonly characterized as a circumscribed radiopaque mass attached to the tooth roots and rimmed by a thin radiolucent zone. Early lesions, however, are radiolucent and can be confused with periapical conditions resulting from nonvital teeth. The tumor is seldom recognized until it produces pain or expansion of the jaw. If the diagnosis is established early, the tooth can be saved by endodontic treatment followed by apical root resection and surgical enucleation of the tumor. This case report documents the origin, development, and unlimited growth potential of a cementoblastoma. Radiographs taken at yearly intervals reveal an initial widening of the periodontal ligament space that grew into a 3-cm mixed radiolucent and radiopaque tumor over a 4-year period. The differential diagnosis and some criteria to help distinguish the cementoblastoma from similar-appearing lesions are reviewed.- - - - - - - - - - ranking = 1keywords = periapical (Clic here for more details about this article) |
6/18. Surgical and prosthodontic rehabilitation for a patient with aggressive florid cemento-osseous dysplasia: a clinical report.Florid cemento-osseous dysplasia is an extensive form of periapical cemental dysplasia, which usually involves 1 to 4 posterior areas of the maxilla and mandible. The affected area undergoes changes from normal vascular bone into an avascular cementum-like lesion. The lesion is usually benign; however, treatment of a secondary infection of this lesion can be difficult and complicated. This clinical report describes a rare but aggressive secondary infection of this type, which was successfully treated by a combination of complex surgical and prosthodontic procedures, including dental implant therapy.- - - - - - - - - - ranking = 1keywords = periapical (Clic here for more details about this article) |
7/18. Focal cemento-osseous dysplasia involving a mandibular lateral incisor.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.- - - - - - - - - - ranking = 6keywords = periapical (Clic here for more details about this article) |
8/18. Cemento-osseous dysplasia in jamaica: review of six cases.Six cases of cemento-osseous dysplasia (COD) of the jaw bone in Jamaicans are reviewed. Five were documented over a 15-year period (1980-1995). These include a case of florid cemento-osseous dysplasia (previously called gigantiform cementoma). Three of the initial cases were histologically diagnosed as gigantiform cementoma. There was no indication in the patient's case file whether these were familial or non-familial. The other two cases were diagnosed histologically as periapical cemento-osseous dysplasia and cementoblastoma respectively. Based on the current understanding of the nature of florid-cemento-osseous dysplasia (FLCOD), a new case was diagnosed as such solely on radiological findings. This single case of FLCOD is reported and discussed against the background of other cemento-osseous lesions. Special emphasis is placed on the radiology of COD in this paper. The confirmative role of radiology without the need for histophathology and treatment for asymptomatic FLCOD is emphasized.- - - - - - - - - - ranking = 1keywords = periapical (Clic here for more details about this article) |
9/18. Unusual behaviour of periapical cementous dysplasia.A case of periapical cementous dysplasia is reported that over the course of 12 years developed into a progressive bone lesion. The diagnostic and therapeutic aspects are discussed.- - - - - - - - - - ranking = 5keywords = periapical (Clic here for more details about this article) |
10/18. cementoma--presentation predicates approach.Cementomas are benign jaw tumors that originate from periodontal ligament elements. Four classifications of cementomas are described: periapical fibrous dysplasia, benign cementoblastoma, cementifying fibroma, and florid osseous dysplasia. Usual treatment regimens vary from observation to limited surgical resection based upon tumor type and clinical characteristics. We present an unusual case report of an extensive cementifying fibroma that required mandibular and inferior alveolar nerve resection followed by osseous and neural reconstruction.- - - - - - - - - - ranking = 1keywords = periapical (Clic here for more details about this article) |
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