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Periapical Osseous Dysplasia
C. Grace Petrikowski, DDS, MSc, FRCD(C)
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Periapical osseous dysplasia (POD)
              • Synonyms

                • Periapical, cemental, or cementoosseous dysplasia, focal cementoosseous dysplasia, cementoma, fibrocementoma, periapical osteofibrosis, sclerosing cementoma, periapical fibroosteoma, periapical fibrous dysplasia
              • Definitions

                • Nonneoplastic localized replacement of normal trabecular bone at tooth apex due to reactive or dysplastic process
                • Contains fibrous tissue and cementum-like material &/or abnormal bone

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Senia ES et al: Periapical cemento-osseous dysplasia: a case report with twelve-year follow-up and review of literature. Int Endod J. 48(11):1086-99, 2015
                                            2. de Noronha Santos Netto J et al: Benign fibro-osseous lesions: clinicopathologic features from 143 cases diagnosed in an oral diagnosis setting. Oral Surg Oral Med Oral Pathol Oral Radiol. 115(5):e56-65, 2013
                                            3. Eskandarloo A et al: CBCT findings of periapical cemento-osseous dysplasia: a case report. Imaging Sci Dent. 43(3):215-8, 2013
                                            4. Alsufyani NA et al: Cemento-osseous dysplasia of the jaw bones: key radiographic features. Dentomaxillofac Radiol. 40(3):141-6, 2011
                                            5. MacDonald-Jankowski DS: Fibro-osseous lesions of the face and jaws. Clin Radiol. 2004 Jan;59(1):11-25. Review. Erratum in: Clin Radiol. 64(1):107, 2009
                                            6. Kawai T et al: Cemento-osseous dysplasia of the jaws in 54 Japanese patients: a radiographic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 87(1):107-14, 1999
                                            7. Wright JM: Reactive, dysplastic and neoplastic conditions of periodontal ligament origin. Periodontol 2000. 21:7-15, 1999
                                            8. Su L et al: Distinguishing features of focal cemento-osseous dysplasia and cemento-ossifying fibromas. II. A clinical and radiologic spectrum of 316 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 84(5):540-9, 1997
                                            9. Summerlin DJ et al: Focal cemento-osseous dysplasia: a clinicopathologic study of 221 cases. Oral Surg Oral Med Oral Pathol. 78(5):611-20, 1994
                                            10. Waldron CA: Fibro-osseous lesions of the jaws. J Oral Maxillofac Surg. 51(8):828-35, 1993
                                            11. Slootweg PJ et al: Differential diagnosis of fibro-osseous jaw lesions. A histological investigation on 30 cases. J Craniomaxillofac Surg. 18(5):210-4, 1990
                                            12. Waldron CA et al: Benign fibro-osseous lesions of the jaws: a clinical-radiologic-histologic review of sixty-five cases. II. Benign fibro-osseous lesions of periodontal ligament origin. Oral Surg Oral Med Oral Pathol. 35(3):340-50, 1973
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      • Diagnostic Checklist

                                                        TERMINOLOGY

                                                        • Abbreviations

                                                          • Periapical osseous dysplasia (POD)
                                                        • Synonyms

                                                          • Periapical, cemental, or cementoosseous dysplasia, focal cementoosseous dysplasia, cementoma, fibrocementoma, periapical osteofibrosis, sclerosing cementoma, periapical fibroosteoma, periapical fibrous dysplasia
                                                        • Definitions

                                                          • Nonneoplastic localized replacement of normal trabecular bone at tooth apex due to reactive or dysplastic process
                                                          • Contains fibrous tissue and cementum-like material &/or abnormal bone

                                                        IMAGING

                                                        • General Features

                                                          • Radiographic Findings

                                                            • CT Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Staging, Grading, & Classification

                                                                      • Gross Pathologic & Surgical Features

                                                                        • Microscopic Features

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Senia ES et al: Periapical cemento-osseous dysplasia: a case report with twelve-year follow-up and review of literature. Int Endod J. 48(11):1086-99, 2015
                                                                                      2. de Noronha Santos Netto J et al: Benign fibro-osseous lesions: clinicopathologic features from 143 cases diagnosed in an oral diagnosis setting. Oral Surg Oral Med Oral Pathol Oral Radiol. 115(5):e56-65, 2013
                                                                                      3. Eskandarloo A et al: CBCT findings of periapical cemento-osseous dysplasia: a case report. Imaging Sci Dent. 43(3):215-8, 2013
                                                                                      4. Alsufyani NA et al: Cemento-osseous dysplasia of the jaw bones: key radiographic features. Dentomaxillofac Radiol. 40(3):141-6, 2011
                                                                                      5. MacDonald-Jankowski DS: Fibro-osseous lesions of the face and jaws. Clin Radiol. 2004 Jan;59(1):11-25. Review. Erratum in: Clin Radiol. 64(1):107, 2009
                                                                                      6. Kawai T et al: Cemento-osseous dysplasia of the jaws in 54 Japanese patients: a radiographic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 87(1):107-14, 1999
                                                                                      7. Wright JM: Reactive, dysplastic and neoplastic conditions of periodontal ligament origin. Periodontol 2000. 21:7-15, 1999
                                                                                      8. Su L et al: Distinguishing features of focal cemento-osseous dysplasia and cemento-ossifying fibromas. II. A clinical and radiologic spectrum of 316 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 84(5):540-9, 1997
                                                                                      9. Summerlin DJ et al: Focal cemento-osseous dysplasia: a clinicopathologic study of 221 cases. Oral Surg Oral Med Oral Pathol. 78(5):611-20, 1994
                                                                                      10. Waldron CA: Fibro-osseous lesions of the jaws. J Oral Maxillofac Surg. 51(8):828-35, 1993
                                                                                      11. Slootweg PJ et al: Differential diagnosis of fibro-osseous jaw lesions. A histological investigation on 30 cases. J Craniomaxillofac Surg. 18(5):210-4, 1990
                                                                                      12. Waldron CA et al: Benign fibro-osseous lesions of the jaws: a clinical-radiologic-histologic review of sixty-five cases. II. Benign fibro-osseous lesions of periodontal ligament origin. Oral Surg Oral Med Oral Pathol. 35(3):340-50, 1973