Periapical Cemental Dysplasia Stages — NDEB AFK MCQ

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ModerateRadiology & ImagingPeriapical Cemental Dysplasia StagesNDEB AFK

Which of the following is the characteristic radiographic appearance of a periapical cemental dysplasia in its intermediate (cementoblastic) stage?

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Correct answer: C — Mixed radiolucent-radiopaque lesion

Periapical cemental dysplasia (periapical osseous dysplasia) progresses through three radiographic stages: (1) Early/osteolytic — periapical radiolucency mimicking periapical pathology (vital teeth); (2) Intermediate/cementoblastic — mixed radiolucent-radiopaque (target-like lesion); (3) Mature — predominantly radiopaque with thin radiolucent border. The teeth are vital in all stages. No treatment or biopsy is needed — clinical and radiographic follow-up only.

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