Cementoma (periapical cemento-osseous dysplasia) 2nd stage

• Apices of several lower incisors
• Middle aged adults (typically black women).
• Round, monolocular, often multiple.
• Adjacent teeth: typically vital, not displaced, not resorbed. The periapical ligament space is intact.
• Small, up to 1 cm in diameter.

Radiodensity

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