Differential Diagnosis between Periapical Inflammatory Lesions and Cemental Dyslplasia

The diagnosis and the clinical way of treatment the inflammatory periapical lesions is a common issue in the dental office. Instead of the most often seen lesions as periapical granuloma and the radicular cyst there is other non inflammatory pathology that can imitate them. Differentiating them and choosing the right way of treatment is essential for the outcome of the patient. One of these lesions is the periapical cemental dysplasia. It is one of the most common fibro-osseus lesions in the periapical tooth region. It develops asymptomatically and has three stages. The first one is a radiolucency forming around the apex of the tooth with a possible loss of lamina dura of the surrounding alveolar bone and in that way it imitates an inflammatory process. The next stage is characterized by a mix of radiolucencies and radiopacities. The next stage is a complete radiopacity of the periapical region of the tooth with a border of radiolucency. We are presenting a case of a periapical cemental dysplasia.