酷似多发性根尖周病变的 florid 骨化性纤维瘤——牙髓病治疗中的难题

Florid cemento-osseous dysplasia mimicking multiple periapical pathology--an endodontic dilemma.

作者信息

Islam Mohammed Nadimul, Cohen Donal M, Kanter Keith G, Stewart Carol M, Katz Joseph, Bhattacharyya Indraneel

机构信息

Department of Oral Pathology, Medicine and Radiology, Indiana University, School of Dentistry, Indianapolis, USA.

出版信息

Gen Dent. 2008 Sep-Oct;56(6):559-62.

PMID:18810917

Abstract

A case of florid cemento-osseous dysplasia (COD) mimicking periapical pathology is presented. The fact that the patient's lesion failed to resolve three years after root canal therapy, in addition to the presence of a mixed radiolucency with discreet radiopacities, mandated a biopsy which (along with radiographic co-relation) confirmed the diagnosis of cemento-osseous dysplasia. This case report illustrates the point that periapical radiolucencies may represent benign fibro-osseous lesions that may be overlooked or result in unnecessary endodontic treatment.

摘要

本文报告一例酷似根尖周病变的 florid 骨化性纤维瘤（COD）病例。患者的病变在根管治疗三年后仍未消退，且存在混合性透影区伴有散在的阻射影，这使得必须进行活检（结合影像学检查）以确诊骨化性纤维瘤。该病例报告表明，根尖周透影区可能代表良性纤维-骨病变，这些病变可能被忽视或导致不必要的牙髓治疗。