CASE REPORT   

European Journal of Oral and Maxillofacial Surgery 2021 December;5(3):128-30

DOI: 10.23736/S2532-3466.20.00243-X

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

An unsual localization of maxillary periapical cemento-osseous dysplasia

Samir MAINASSARA CHEKARAOU ¹ ✉, Bassima CHAMI ^{1, 2}

¹ Department of Oral Surgery, Faculty of Dental Medicine, Mohamed V University of Rabat, Rabat, Morocco; ² Military Teaching Hospital, Mohamed V University of Rabat, Rabat, Morocco

Cemento-osseous dysplasia (COD) is a rare benign fibro-osseous disease of the maxillae, associated with vital teeth that can mimic a periapical lesion, especially at the initial stage. This is a lesion associated with the dental apex and containing amorphous calcifications that would correspond to cemental tissue. Usually asymptomatic, the finding is often accidental during a routine radiological examination. A 28-year-old patient presenting pain in the right anterior maxillary jaw. The clinical examination combined with the radiography suggest the diagnosis of periapical COD, confirmed by histological examination. COD is a rare benign fibro-osseous disease of the jaws of which the etiology remains unknown. It is usually asymptomatic, detected by x-ray and usually does not require treatment. The pulp vitality test is an important tool in diagnosing periapical COD. Long-term evaluation is recommended.

KEY WORDS: Florid cemento-osseous dysplasia; Odontogenic tumors; Surgery, oral