Oral Pathology Short Case 4 - 25 Year Male –Radiologically visible lesion in the maxilla

Answer : Cemento osseous dysplasia

Non-neoplastic fibro-osseous lesion

Most common benign fibro-osseous lesion of the jaws

Common in middle-aged black women

3 variants –based on anatomic location

• Periapical – Periapical –mandibular anterior teeth

• Focal COD – Single tooth

• Florid – Multiquadrent involvement 

Asymptomatic – Accidental finding

Associated with vital tooth

Radiolucent, Radiodense or mixed – the periodontal ligament is intact

Histopathology 

Cellular fibrous stroma with areas of swirling(Spirelling) and loose collagen

With mineralizing tissues consisting of osteoid, bone and cementum Osteoblastic rimming is rare

Vascularity is pronounced-Blood within biopsied specimens

No capsule

Treatment: No treatment –Follow up for complication for osteomyelitis 

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