CEMENTO-OSSEOUS DYSPLASIAS power point for students

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1. CEMENTO-OSSEOUS DYSPLASIAS (OSSEOUS DYSPLASIA)

2. WHAT ARE THESE…? Most common fibro-osseous lesion Occurs in the tooth-bearing areas of the jaws Origin theories: From the PDLs, because of microscopic similarity and lesion proximity to this structure. Condition represents a defect in extraligamentary bone remodeling that may be triggered by local injury or, possibly, an underlying hormonal imbalance.

3. TYPES Based on clinical and radiographic features, it has following variants: Focal (Single point) Periapical (Ant. Mand ) Florid (Multiple)

4. Periapical Cemento-Osseous Dysplasia (Osseous Dysplasia; Periapical Cemental Dysplasia; Periapical Cementoma; Anterior Mandibular Osseous Dysplasia)

5. INTRODUCTION Predominantly involves the periapical region of the anterior mandible Typically multiple foci, may occur in solitary F > M (14:1); 70% cases (Blacks) A symptomatic; Coincidental finding

6. RADIOGRAPHIC FEATURES Radiolucent lesions at the apices of the anterior mandibular teeth. Later-stage lesions exhibit mineralization.

7. HISTOPATHOLOGIC FEATURES All three patterns of cemento-osseous dysplasia demonstrate similar histopathologic features. There are typically fragments of cellular fibrovascular connective tissue with scattered hemorrhage and a variable mixture of woven bone, lamellar bone, and cementum-like particles.

8. HISTOPATHOLOGIC FEATURES As the lesions mature, the ratio of fibrous connective tissue to mineralized material decreases. Over time, the bony trabeculae become thick and curvilinear, with shapes likened to ginger roots. In the final radiopaque stage, the individual trabeculae fuse to form sheetlike or globular masses of sclerotic, disorganized cemento-osseous material.