Teeth with pulp vitality and apical periodontitis: periapical cemento-osseous dysplasia

Alberto Consolaro, Graziella Bittencourt, Armelindo Roldi, Renata Bianco Consolaro, João Batista Gagno Intra

In spite of the dogmatic assertion according to which ‘if a tooth has periapical lesion, there is no pulp vitality anymore’, it does not correspond to reality, as there are periapical lesions in which the carrier teeth remain with pulp vitality. To provide a basis for this thought, the present paper discusses: 1) The concept of true periapical lesion, 2) The differences between apex and periapex, 3) The distinction between apical pericementum and apical periodontium, and 4) Considerations about the true periapical lesions classification. Among the four clinical situations in which a tooth with periapical lesion keeps its pulp vitality, we selected, for this study, which is the first one of a series, the Periapical Cemento-Osseous Dysplasia, which does not require any treatment, but only controlling over time.

Keywords: Periapical cemento-osseous dysplasia. Periapical cemental dysplasia. Cementomas. Periapical lesions.

How to cite: Consolaro A, Bittencourt G, Roldi A, Consolaro RB, Intra JBG. Teeth with pulp vitality and apical periodontitis: periapical cemento-osseous dysplasia. Dental Press Endod. 2016 May- Aug;6(2):7-15. DOI: http://dx.doi.org/10.14436/2358-2545.6.2.007-015.end

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