Differential Diagnosis of a Periapical Radiolucent Lesion. A Case Report and Review of the Literature.
N Y State Dent J
; 81(5): 52-6, 2015.
Article
em En
| MEDLINE
| ID: mdl-26521329
ABSTRACT
This article demonstrates a methodological approach to diagnosing a periapical radiolucency that could not be diagnosed using only basic clinical and radiographic findings. The patient was a 59-year-old Hispanic female with a small tender mass on the lower gingiva associated with tooth #25. Radiographic appearance demonstrated a well-defined radiolucent lesion at the apices of the mandibular incisors. The patient had no significant medical history. Cone-beam computed tomography (CBCT) showed bony expansion of the buccal plate. Differential diagnosis included non-endodontic unilocular radiolucent lesions in the anterior mandibular region. Biopsy findings were consistent with periapical cemento-osseous dysplasia (PCOD). In conclusion, clinical appearance of PCOD varies from non-expansile and asymptomatic to being expansile and sometimes symptomatic. In the latter cases, it may be necessary to use additional diagnostic tools to confirm the diagnosis.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças Periapicais
/
Cementoma
/
Neoplasias Mandibulares
/
Incisivo
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
N Y State Dent J
Ano de publicação:
2015
Tipo de documento:
Article