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Periapical cemento-osseous dysplasia — NDEB AFK MCQ

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HardOral PathologyPeriapical cemento-osseous dysplasiaNDEB AFK

A 45-year-old Black woman has asymptomatic periapical mixed radiolucent-radiopaque lesions around vital mandibular incisors. There is no swelling and periodontal probing is normal. What is the most likely diagnosis?

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Correct answer: B — Periapical cemento-osseous dysplasia

Vital mandibular incisors with asymptomatic periapical mixed lesions in this demographic are typical of periapical cemento-osseous dysplasia. Endodontic treatment would be inappropriate because the teeth are vital and the lesion is not pulpal in origin. The pearl is to confirm vitality before treating any periapical radiolucency.

Reference: Oral radiology/oral pathology reference texts; NDEB KSAs 2024