Different imaginological manifestations of cementobone dysplasia: report of two clinical cases

• Autor(a) principal: Silva, Jéssica Lorrayne Nunes
• Data de Publicação: 2021
• Outros Autores: Lima, Lívia Saldanha Gomes, Coelho, Yasmin Correia, Rocha, Brenda Tigre, Santos, Juliana Borba, Correia, Luísa Soares Santino, Pereira, Lara Correia
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/22841
• topic: asymptomatic

Objective: To report two distinct clinical cases of periapical cemento-osseous dysplasia, with different radiographic manifestations and the same dental procedure for its resolution. Methodology: Two clinical cases were described, of female patients, black, between the third and fourth decades of life, referred to a school clinic in the Southwest of Bahia for endodontic evaluation. After the radiographic examinations, in the first patient, a radiolucent area was observed in the periapical region of element 44. In the second patient, a radiolucent area was found in the mental symphysis region, involving dental elements 31,32 and 41. However, element 41 presented a radiopaque area suggestive of calcification. In the cases mentioned, the results of the pulp sensitivity tests were within the normal range. The diagnosis of both cases was periapical cemento-osseous dysplasia. In view of this diagnosis, follow-up for 6 years was instituted, with no need for endodontic or surgical interventions. Conclusion: The approach to clinical cases highlighted the importance of the correlation between anamnesis, pulp sensitivity tests and complementary imaging tests for the diagnosis of cemento-osseous dysplasia, which commonly affect the oral cavity, being asymptomatic in most cases.