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THẤU QUANG QUANH CHÓP
Florid cemento-osseous dysplasia in a young Indian woman
 CASE REPORT
A 27-year-old Indian woman was referred by her general dental practitioner to
the department of maxillofacial surgery at the Eastman Dental Hospital for further
management of incidental radiographic findings of three separate radiolucencies
in the periapical regions of the lower right first molar and lower left first molar
and premolar teeth. On questioning, the lesions were asymptomatic and no
relevant medical, family or social history was elicited.
On clinical examination there was no evidence of dental decay or periodontal
disease. The teeth were vital in their response to ethyl chloride with only slight
tenderness due to minor expansion of the buccal plate in the lower left first
molar region being noted. The teeth were not found to be tender to percussion.

Radiological examinations revealed three radiolucent lesions, two of which were

symmetrical at presentation. These lesions appeared to have well-defined
margins and measured 1.5 cm in diameter. Opinions from our radiologist
colleagues confirmed the provisional diagnosis as cemental dysplasia that could
be either periapical or florid
Florid cemento-osseous dysplasia in a young Indian woman
• Six months later the patient attended a joint endodontic/surgery
review. The lesions were of similar size radiographically, with some
elements of maturation evident. No active treatment was initiated at
this time but annual follow up was proposed for the patient.
• Twenty months following the initial presentation, a further follow up
showed no change in the clinical picture but radiography (Fig. 2)
revealed a 1.5 cm in diameter radiolucent lesion in the periapical
region of the lower right first premolar tooth. This proved to be
entirely symmetrical with the lesion on the contralateral first premolar.
This new lesion confirmed the diagnosis of florid cemento-osseous
dysplasia
• Continued follow-up has shown no infiltration of the periodontal
ligaments, variable degrees of maturation of the lesions and only
minor expansion in the buccal plate of the lower left first molar tooth
THẤU QUANG QUANH THÂN RĂNG
PA R A D E N T A L C Y S T S
NANG THÂN RĂNG
NANG THÂN RĂNG

(a) central, (b) lateral (c) circumferential types of

dentigerous cyst.
NANG THÂN RĂNG
• Nang
quanh
thân
răng
• hình ảnh
không
điển
hình
NANG THÂN RĂNG
AMELOBLASTOMA
9 / 1 0 / 2 02 3 Sample Footer Text 29
THẤU QUANG VÙNG KẼ RĂNG
NANG ỐNG MŨI KHẨU
L AT E R A L P E R I O D O N TA L C Y S T
AMELOBLASTOMA
NANG SỪNG DO RĂNG
NANG SỪNG DO RĂNG
NANG ỐNG MŨI KHẨU
NANG TỒN TẠI
THẤU QUANG NHIỀU HỐC
NANG SỪNG DO RĂNG
NANG SỪNG DO RĂNG
NANG SỪNG DO RĂNG
NANG SỪNG DO RĂNG
AMELOBLASTOMA
AMELOBLASTOMA
9 / 1 0 / 2 02 3 Sample Footer Text 59
THẤU QUANG BỜ LỞM CHỞM, KHÔNG VIỀN
VIÊM CỐT TỦY XƯƠNG HÀM MẠN
VIÊM CỐT TỦY XƯƠNG HÀM MẠN
KẾT HỢP THẤU + CẢN QUANG QUANH RĂNG
LOẠN SẢN XƯƠNG XÊ MĂNG

CLASSIFICATION OF FIBROOSSEOUS LESIONS

l. Fibrous dysplasia
II. Reactive (dysplastic) lesions arising in the toothbearing
area.
These are presumably of periodontal ligament
origin. It is convenient to divide them into three
types based on their radiologic features, although
they seem to represent the same pathologic process.
Periapical cementoosseous dysplasia
Focal cementoosseous dysplasia
Florid cementoosseous dysplasia
III. Fibroosseous neoplasms
These are widely designated as cementifying
fibroma, ossifying
9 / 1 0 / 2 02 3 Sample Footer Text 83
 DIFFERENTIAL LIST FOR PCOD
• Anatomic radiolucency
• Pulpoperiapical radiolucency
• Traumatic bone cyst
• Focal cementoosseous dysplasia74
• Cementoossifying fibroma
• Cementoblastoma
• Malignancy

9 / 1 0 / 2 02 3 Sample Footer Text 84

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QUAN RĂNG
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