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Periapical cemental dysplasia

A M Manganaro1, G V Millett

  • 1Department of Oral and Maxillofacial Surgery, Brooke Army Medical Center, U.S. Army Denta Corps, Fort Sam Houston, San Antonio, Texas, USA.

General Dentistry
|July 1, 1996
PubMed
Summary
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Periapical cemental dysplasia (PCD) lesions evolve over time, changing from radiolucent to radiopaque. This 13-year case report documents the characteristic maturation of PCD.

Area of Science:

  • Oral pathology
  • Dental radiology
  • Pathology of jaw lesions

Background:

  • Periapical cemental dysplasia (PCD) is a common benign fibro-osseous lesion.
  • PCD typically affects the periapical region of mandibular anterior teeth in middle-aged individuals.
  • Understanding the natural history of PCD is crucial for accurate diagnosis and management.

Observation:

  • This case report details the radiographic progression of periapical cemental dysplasia (PCD) over a 13-year observation period.
  • Serial radiographic examinations documented changes in lesion characteristics.
  • The study focused on the transformation of PCD lesions from initial radiolucent to eventual radiopaque stages.

Findings:

  • Periapical cemental dysplasia (PCD) lesions exhibit a distinct maturation process.

Related Experiment Videos

  • Over 13 years, the observed PCD lesions transitioned from predominantly radiolucent to a more radiopaque appearance.
  • This demonstrates a predictable developmental pathway for these lesions.
  • Implications:

    • The findings reinforce the understanding of PCD as a dynamic, maturing lesion.
    • Radiographic monitoring can aid in differentiating PCD from other periapical pathologies.
    • This natural history knowledge supports conservative management strategies for PCD.