Periapical Cemento-Osseous Dysplasia in Anterior Maxilla

Dentigerous Cyst Associated with an Impacted Maxillary Supernumerary Tooth

“…1,2 In the event where radiopacities are seen in this region, it prompts suspicion towards odontogenic or fibro osseous lesion, of which odontomas are the most frequently seen entities. 3,4 The case received by our lab in its clinical diagnostic phases was provisionally diagnosed as a fissural cyst, originating from the incisive canal and exhibiting slow growth, and consistent with the demographic findings of a male gender, age of the patient (38 years) being close to the median age of 42.5 years, radiographic appearance of a unilocular radiolucency and an aspirate of blood-tinged straw colour fluid. On excision two small teeth like structures were obtained at the periphery of the cystic mass, therefore prompting a reconsideration and modification of the initial provisional diagnosis of fissural cyst to dentigerous cyst.…”

Case report– Periapical cemento-osseous dysplasia–CBCT findings

“…The periodontal ligament can be seen separating from the roots. 1,12 Final diagnosis is by patient's history, subjective symptoms, clinical findings and follow-up radiographic features. Though histologic and radiographic appearances are similar they require different treatment protocol.…”

“…Cementoma appear as a welldefined radiopacity with a radiolucent rim associated with a tooth root showing signs of resorption. 3,12,14 Though the lesion require no treatment, an accurate diagnosis is always essential. CBCT with the appropriate field of view and spatial resolution helps in assessing the location and extension of the lesion, internal mineralized structure, along with expansion and perforation of the cortical plates.…”