skip to main content

Florid Cemento-Osseous Dysplasia — NDEB AFK MCQ

Instant feedback + full explanation. One question, done properly.

HardOral PathologyFlorid Cemento-Osseous DysplasiaNDEB AFK

A patient presents with multiple bilateral radiopaque masses attached to the roots of mandibular premolars and molars. The teeth are vital. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Cemento-osseous dysplasia (florid type)

Florid cemento-osseous dysplasia presents as bilateral, multiple, dense radiopaque (in mature stage) or mixed radiolucent-radiopaque masses in the periapical regions of vital teeth, typically in the mandible. It is most common in middle-aged Black women. The teeth are vital and no treatment is needed. Biopsy is contraindicated because the tissue is relatively avascular and prone to chronic osteomyelitis if surgically disturbed.

Reference: Neville – Oral and Maxillofacial Pathology, 4th ed., 2016