• Florid cemento-osseous dysplasia is a benign condition that usually involves multiple quadrants of the jaws.
• The lesions are often bilaterally and symmetrically positioned and are associated with the apices of the teeth, if present.
• It is clinically the most extensive and diffuse form of periapical cemental dysplasia.
• The adjacent teeth are typically vital, not displaced and not resorbed.

Radiographic appearance

• Early stage: Radiolucent lesion but not corticated.
• Intermediate stage: Radiopacities within the apical radiolucencies.
• Late stage: Densely radiopaque lesion surrounded by a thin radiolucent line.