Idiosyncratic Presentation of Cemento-Osseous Dysplasia – An in Depth Analysis Using Cone Beam Computed Tomography
Identifieur interne : 000514 ( Pmc/Corpus ); précédent : 000513; suivant : 000515Idiosyncratic Presentation of Cemento-Osseous Dysplasia – An in Depth Analysis Using Cone Beam Computed Tomography
Auteurs : Sai Kiran Chennoju ; Ramaswamy Pachigolla ; Vanya Mahitha Govada ; Satish Alapati ; Smitha BallaSource :
- Journal of Clinical and Diagnostic Research : JCDR [ 2249-782X ] ; 2016.
Abstract
Bone dysplasias comprise of a condition where the normal bone is replaced with fibrous tissue. Periapical Cemento-Osseous Dysplasia (PCOD) is a benign fibro-osseous condition where bone tissue is supplanted with fibrous tissue and cementum-like material. This condition affects mostly mandibular anterior region and rarely occurs in the maxilla. PCOD is seen above 30 years of age and has slight female predilection. Generally the teeth related to such lesions appear to be vital and are usually asymptomatic. These lesions are mostly seen during routine radiographic examination whose presentation may vary from complete radiolucency to dense radiopacity. The advent of Cone Beam Computed Tomography (CBCT) has brought a massive change in the field of dentistry which has become an important tool for diagnosis. Hence we hereby present an unusual case of cemento-osseous dysplasia in an unfamiliar location with an atypical presentation. The shape of the pathology was completely idiosyncratic and different from an orthodox lesion of COD, as the lesion was observed to grow out of the palatal surface with a prominent palatal expansion. This case highlights the importance of CBCT in radiographic diagnosis and in evaluating the characteristics of such lesion, which present with high diagnostic dilemma.
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DOI: 10.7860/JCDR/2016/16821.7839
PubMed: 27437374
PubMed Central: 4948550
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PMC:4948550Le document en format XML
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<series><title level="j">Journal of Clinical and Diagnostic Research : JCDR</title>
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<front><div type="abstract" xml:lang="en"><p>Bone dysplasias comprise of a condition where the normal bone is replaced with fibrous tissue. Periapical Cemento-Osseous Dysplasia (PCOD) is a benign fibro-osseous condition where bone tissue is supplanted with fibrous tissue and cementum-like material. This condition affects mostly mandibular anterior region and rarely occurs in the maxilla. PCOD is seen above 30 years of age and has slight female predilection. Generally the teeth related to such lesions appear to be vital and are usually asymptomatic. These lesions are mostly seen during routine radiographic examination whose presentation may vary from complete radiolucency to dense radiopacity. The advent of Cone Beam Computed Tomography (CBCT) has brought a massive change in the field of dentistry which has become an important tool for diagnosis. Hence we hereby present an unusual case of cemento-osseous dysplasia in an unfamiliar location with an atypical presentation. The shape of the pathology was completely idiosyncratic and different from an orthodox lesion of COD, as the lesion was observed to grow out of the palatal surface with a prominent palatal expansion. This case highlights the importance of CBCT in radiographic diagnosis and in evaluating the characteristics of such lesion, which present with high diagnostic dilemma.</p>
</div>
</front>
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<pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Clin Diagn Res</journal-id>
<journal-id journal-id-type="iso-abbrev">J Clin Diagn Res</journal-id>
<journal-id journal-id-type="hwp">Journal of Clinical and Diagnostic Research</journal-id>
<journal-id journal-id-type="publisher-id">JCDR</journal-id>
<journal-title-group><journal-title>Journal of Clinical and Diagnostic Research : JCDR</journal-title>
</journal-title-group>
<issn pub-type="ppub">2249-782X</issn>
<issn pub-type="epub">0973-709X</issn>
<publisher><publisher-name>JCDR Research and Publications (P) Limited</publisher-name>
<publisher-loc>Delhi, India</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27437374</article-id>
<article-id pub-id-type="pmc">4948550</article-id>
<article-id pub-id-type="doi">10.7860/JCDR/2016/16821.7839</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Dentistry Section</subject>
<subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>Idiosyncratic Presentation of Cemento-Osseous Dysplasia – An in Depth Analysis Using Cone Beam Computed Tomography</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Chennoju</surname>
<given-names>Sai Kiran</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pachigolla</surname>
<given-names>Ramaswamy</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Govada</surname>
<given-names>Vanya Mahitha</given-names>
</name>
<xref ref-type="aff" rid="aff3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alapati</surname>
<given-names>Satish</given-names>
</name>
<xref ref-type="aff" rid="aff4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Balla</surname>
<given-names>Smitha</given-names>
</name>
<xref ref-type="aff" rid="aff5">5</xref>
</contrib>
</contrib-group>
<aff id="aff1"><label>1</label>
Senior Lecturer, Department of Oral Medicine and Radiology,<institution>G.S.L Dental College and Hospital</institution>
,<addr-line>Rajahmundry, Andhra Pradesh, India</addr-line>
.</aff>
<aff id="aff2"><label>2</label>
Professor and Head of the Department, Department of Oral Medicine and Radiology,<institution>St.Joseph Dental College</institution>
,<addr-line>Eluru, Andhra Pradesh, India</addr-line>
.</aff>
<aff id="aff3"><label>3</label>
Post Graduate Student, Department of Oral Medicine and Radiology,<institution>St.Joseph Dental College</institution>
,<addr-line>Eluru, Andhra Pradesh, India</addr-line>
.</aff>
<aff id="aff4"><label>4</label>
Senior Lecturer, Department of Oral Medicine and Radiology,<institution>St.Joseph Dental College</institution>
,<addr-line>Eluru, Andhra Pradesh, India</addr-line>
.</aff>
<aff id="aff5"><label>5</label>
Reader, Department of Oral Medicine and Radiology,<institution>St.Joseph Dental College</institution>
,<addr-line>Eluru, Andhra Pradesh, India</addr-line>
.</aff>
<author-notes><corresp id="cor1">NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Sai Kiran Chennoju, Senior Lecturer, Department of Oral Medicine and Radiology, G.S.L Dental College and Hospital, Rajahmundry-533296, Andhra Pradesh, India. E-mail: <email>iamchennojukiran@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>5</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>01</day>
<month>5</month>
<year>2016</year>
</pub-date>
<volume>10</volume>
<issue>5</issue>
<fpage>ZD08</fpage>
<lpage>ZD10</lpage>
<history><date date-type="received"><day>15</day>
<month>9</month>
<year>2015</year>
</date>
<date date-type="rev-request"><day>07</day>
<month>11</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>09</day>
<month>3</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>© 2016 Journal of Clinical and Diagnostic Research</copyright-statement>
<copyright-year>2016</copyright-year>
</permissions>
<abstract><p>Bone dysplasias comprise of a condition where the normal bone is replaced with fibrous tissue. Periapical Cemento-Osseous Dysplasia (PCOD) is a benign fibro-osseous condition where bone tissue is supplanted with fibrous tissue and cementum-like material. This condition affects mostly mandibular anterior region and rarely occurs in the maxilla. PCOD is seen above 30 years of age and has slight female predilection. Generally the teeth related to such lesions appear to be vital and are usually asymptomatic. These lesions are mostly seen during routine radiographic examination whose presentation may vary from complete radiolucency to dense radiopacity. The advent of Cone Beam Computed Tomography (CBCT) has brought a massive change in the field of dentistry which has become an important tool for diagnosis. Hence we hereby present an unusual case of cemento-osseous dysplasia in an unfamiliar location with an atypical presentation. The shape of the pathology was completely idiosyncratic and different from an orthodox lesion of COD, as the lesion was observed to grow out of the palatal surface with a prominent palatal expansion. This case highlights the importance of CBCT in radiographic diagnosis and in evaluating the characteristics of such lesion, which present with high diagnostic dilemma.</p>
</abstract>
<kwd-group><kwd>Cementum</kwd>
<kwd>Fibro-osseous lesions</kwd>
<kwd>Maxilla</kwd>
<kwd>Palate</kwd>
<kwd>Periapical</kwd>
</kwd-group>
</article-meta>
</front>
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