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An Official Publication of the Indian Association of Oral and Maxillofacial Pathologists


 
CASE REPORT - ODONTOGENIC AND FIBRO OSSEOUS LESIONS Table of Contents   
Year : 2020  |  Volume : 24  |  Issue : 4  |  Page : 15-18
Focal cemento-osseous dysplasia: A case report with a review of literature


1 Department of Oral and Maxillofacial Pathology, YMT Dental College and Hospital, Navi Mumbai, Maharashtra, India
2 Department of Oral and Maxillofacial Surgery, YMT Dental College and Hospital, Navi Mumbai, Maharashtra, India

Correspondence Address:
Anuprita S Salvi
B-8, Nityanand CHS, Near Mental Hospital, Thane (West) - 400 604, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jomfp.JOMFP_349_19

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Cemento-osseous dysplasia (COD) is the most prevalent lesion and presents as an asymptomatic, mixed radiolucent/radiopaque lesion in the tooth-bearing region of the jawbones. Histological features of COD include a cellular connective tissue stroma interspersed by the islands of woven or lamellar bone and cementum-like calcifications. Radiographically, the early COD lesions appear radiolucent, whereas in the mature lesions, radiopacities are observed surrounded by a thin rim of radiolucency. Early lesions tend to get misdiagnosed as their radiographic appearance mimics periapical cyst or granuloma. In the mixed radiolucent-radiopaque stage, the lesion could be confused with chronic sclerosing osteomyelitis, cemento-ossifying fibroma, odontoma and osteoblastoma. A correct diagnosis is of utmost importance as most of the CODs are self-limiting and nonneoplastic and do not require surgical intervention. However, periodic follow-up is recommended because occasional cases of focal COD are known to progress into florid COD. Here, we present the case of focal COD in a 27-year-old male patient.


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Journal of Oral and Maxillofacial Pathology | Published by Wolters Kluwer - Medknow
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