Ossifying Fibroma Misdiagnosed as Chronic Apical Periodontitis

Ramos‐Perez, Flávia Maria de Moraes; Soares, Ulysses Nicida; Silva‐Sousa, Yara Teresinha Corrêa; Pérez, Danyel Elias da Cruz

doi:10.1016/j.joen.2009.11.027

Cited by 20 publications

(7 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, there are some case reports of serious pathologies mimicking benign lesions or cysts of the jaws. [ 70 71 72 73 ] The remaining diagnostic disagreements of our study are similar to this reported data with the cases of lymphoma mimicking peripheral giant cell or pyogenic granuloma, squamous cell carcinoma mimicking peripheral giant cell granuloma and squamous papilloma mimicking fibroepithelial hyperplasia. This inconsistency might be due to subjective interpretation of the clinical and radiographical examination of these lesions, whereas biopsy is the definitive diagnostic tool.…”

Section: Discussionsupporting

confidence: 89%

A 5 year retrospective study of biopsied jaw lesions with the assessment of concordance between clinical and histopathological diagnoses

Peker

Öğütlü

Karaca

et al. 2016

J Oral Maxillofac Pathol

View full text Add to dashboard Cite

Introduction:The jaw can be affected by several lesions that manifest in the oral cavity, but little is known about their distribution patterns in various populations.Aims and Objectives:This study presents the frequency and distribution of biopsied jaw lesions recorded in Faculty of Dentistry and gathers the information including provisional and final diagnosis of the lesions.Material and Methods:Biopsy of 1938 lesions (2008–2013) was reviewed and 1473 lesions were included in this study. The provisional diagnosis and histopathological validations of lesions were compared. Data on the location of the lesion, as well as patient demographics, were also evaluated. The lesions were divided into three major groups as 1 - developmental/reactive and inflammatory lesions of the jaw, 2 - cystic lesion and 3 - tumor and tumor-like lesions.Statistical Analysis:The variables were recorded and analysed using descriptive statistics.Results and Observations:Three hundred and ninety-six lesions were in Group 1 and periapical granuloma was the most frequent diagnosis. Seven hundred and eighty-nine lesions were in Group 2 and the radicular cyst was the most frequent diagnosis. Two hundred and eighty-eight lesions were in Group 3 and the keratocystic odontogenic tumor was the most frequent. Two hundred and ninety-one biopsied lesions were in disagreement with respect to the diagnoses on clinical and histopathological examination.Conclusion:Consequently, a provisional diagnosis of some of the malignant lesions was reactive, inflammatory, cystic or benign lesions, therefore the importance of evaluation of the specimen is emphasized.

show abstract

Section: Discussionsupporting

confidence: 89%

A 5 year retrospective study of biopsied jaw lesions with the assessment of concordance between clinical and histopathological diagnoses

Peker

Öğütlü

Karaca

et al. 2016

J Oral Maxillofac Pathol

View full text Add to dashboard Cite

show abstract

“…55 Cortical bone displacement, tooth displacement, and root resorption may occasionally be observed in OF. 36 Ramos-Perez et al 56 presented a case of OF that was very similar to chronic apical periodontitis. In their case report, the lesion was observed in conventional radiographs as a well-defined unilocular radiolucent lesion located in the apical region of an endodontically treated mandibular right canine.…”

Section: Central Ossifying Fibromamentioning

confidence: 99%

“…The authors also reported that this resemblance of OF with apical periodontitis is very rare. 56 The clinical and radiographic characteristics are essential for OF diagnosis. However, correlation between these characteristics and the histopathological presentation of the lesion must be made to ensure definite identification.…”

Section: Central Ossifying Fibromamentioning

confidence: 99%

Differential diagnosis and clinical management of periapical radiopaque/hyperdense jaw lesions

et al. 2017

View full text Add to dashboard Cite

Great attention has been given to the study of radiolucent periapical lesions to avert possible misdiagnosis of apical periodontitis associated with certain radiolucent non-endodontic lesions. However, there are a significant number of radiopaque lesions found in the periapical region, which could be equally relevant to endodontic practice. The diagnosis and management of these radiopaque/hyperdense lesions could be challenging to the endodontist. These bone alterations could be neoplastic, dysplastic or of metabolic origin. In the context of the more widespread use of cone-beam CT, a detailed review of radiopaque inflammatory and non-inflammatory lesions is timely and may aid clinicians perform a differential diagnosis of these lesions. Distinguishing between inflammatory and non-inflammatory lesions simplifies diagnosis and consequently aids in choosing the correct therapeutic regimen. This review discusses the literature regarding the clinical, radiographic, histological and management aspects of radiopaque/hyperdense lesions, and illustrates the differential diagnoses of these lesions.

show abstract

“…Although the present case does not show the usual features, ossifying fibroma, adenomatoid odontogenic tumor and calcifying cystic odontogenic tumor were considered in the differential diagnosis because habitually they appear as mixed images. These lesions have also been reported in the periapical region (7,13,14). Additionally, in approximately 70% of cases of non-endodontic periapical lesions, the affected teeth presented pulp necrosis or were endodontically treated (14).…”

Section: Discussionmentioning

confidence: 88%

“…Several diseases of the jaws may appear as a welldelimited mixed radiographic image. Ossifying fibroma, calcifying cystic odontogenic tumor, adenomatoid odontogenic tumor, calcifying epithelial odontogenic tumor and osseous dysplasia are among these lesions (6)(7)(8)(9)(10)(11)(12). Ossifying fibroma occurs more frequently in the posterior region of the mandible of patients between the second and fourth decades of life (6,9).…”

Section: Discussionmentioning

confidence: 99%

Mixed Periapical Lesion: An Atypical Radicular Cyst with Extensive Calcifications

et al. 2014

Self Cite

View full text Add to dashboard Cite

The radicular cyst is an inflammatory odontogenic cyst of endodontic origin. Radiographically, the lesion appears as a periapical radiolucent image. This report describes a very rare case of a mixed periapical radiographic image diagnosed as a radicular cyst. A 37-year-old female patient presented a mixed, well-circumscribed image located in the periapical region of the left maxillary central incisor, which presented unsatisfactory endodontic treatment. Microscopic examination revealed a cavity lined by non-keratinized squamous epithelium and extensive calcifications in the cystic lumen and lining epithelium. Diagnosis of radicular cyst with extensive calcifications was established. Endodontic retreatment was performed and no radiographic signs of recurrence were observed 18 months after treatment. Although very rare, a radicular cyst should be considered in the differential diagnosis of a mixed periapical image associated to teeth with pulp necrosis.

show abstract

Ossifying Fibroma Misdiagnosed as Chronic Apical Periodontitis

Cited by 20 publications

References 14 publications

A 5 year retrospective study of biopsied jaw lesions with the assessment of concordance between clinical and histopathological diagnoses

A 5 year retrospective study of biopsied jaw lesions with the assessment of concordance between clinical and histopathological diagnoses

Differential diagnosis and clinical management of periapical radiopaque/hyperdense jaw lesions

Mixed Periapical Lesion: An Atypical Radicular Cyst with Extensive Calcifications

Contact Info

Product

Resources

About