J Korean Acad Conserv Dent.  2005 Jan;30(1):66-71. 10.5395/JKACD.2005.30.1.066.

Diagnosis of periapical cemental dysplasia

• Lee SY
• Lee CY
• Roh BD

• KMID: 1986998
• DOI: http://doi.org/10.5395/JKACD.2005.30.1.066

Abstract

Periapical cemental dysplasia(PCD) is a condition most commonly seen in the mandibular incisor region. Radiographically it passes through the three phases(osteolytic stage, intermediate stage, and mature stage). At osteolytic stage, the lesion is similar to features associated with granuloma or cyst that arise following pulpal necrosis. So, it is important to confirm the vitality of the pulp to diagnosis. In this case, it is difficult to confirm the vitality of involved tooth because the tooth was covered with PFG bridge. And it is unusual that the PCD lesion at mandibular incisors has occurred at first and the lesion of mandibular canine and mandibular premolar were occurred afterward.

Keyword

Periapical cemental dysplasia(PCD); Diagnosis; Vitality

MeSH Terms

Bicuspid
Diagnosis*
Granuloma
Incisor
Necrosis
Tooth

Figure

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  Figure 1 Periapical view of left mandibular canine (2003. 3. 13.).

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  Figure 2 Radiographic change: Apical region of left mandibular canine and premolar.

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  Figure 3 PFG bridge on #31-#33

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  Figure 4 Radiographic change: Apical region of mandibular incisors.

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