Cementoma (periapical cemental dysplasia) 1st stage .

  • Asymptomatic lesion which is usually located at the periapical region of lower incisors.
  • It is most common in middle-aged women (mostly of black origin).
  • Single or multiple lesions.
  • Adjacent teeth: usually with vital pulp and displacement or resorption is not observed.
  • The size of the lesion does not exceed 1,5 cm of diameter.
  • Radiographic stages:
    • Early stage: Radiolucency, not corticated.
    • Intermediate stage: Radiopacities within the apical radiolucency.
    • Late stage: Densely radiopaque lesion surrounding by a thin radiolucent line.

Differential Diagnosis

Case 1

Several cases of cementoma (1st stage)

Case 2

Cementoma three stages: 1st (radiolucent) – 2nd (mixed) – 3rd (radiopaque).