Importance of endodontic diagnosis regarding periapical cemento-osseous dysplasia: literature review

Adriana Dos Santos Belo, Rogério Vieira Silva, Renato Piai Pereira, João Cláudio Borges Rodrigues

Introduction: Periapical cemento-osseous dysplasia (PCOD) is a benign idiopathic lesion affecting more prevalently the region of mandibular incisors in women aged between 30 and 50 years old. PCOD has radiographic characteristics which may lead the general dentist to make mistakes including treatment planning, in case this lesion is diagnosed as one of the periapical diseases. Objectives: Therefore, the aim of this study was to describe this pathology by reviewing the literature. Methods: This literature review was conducted based on PubMed and Sci- ELO, two of the largest databases in the world. Descriptors in English (“periapical cemento-osseous dysplasia”) and Portuguese (“displasia cemento-óssea periapical”) were used to search for the articles in order to evaluate the issue. Results: Twenty-four scientific articles were selected based on the following inclusion criteria: literature review or clinical case, written in English or Portuguese, published within the 1989-2016 period and describing aetiology, clinical and radiographic characteristics, diagnosis, treatment planning and prognosis regarding PCOD. Conclusion: It is important that the professional recognize the relevant aspects of PCOD, in order to elucidate the differential diagnosis and treatment and thus, prevent iatrogenic procedures such as unnecessary endodontic therapies.

Keywords: Diagnosis. Endodontics. Pathology. Oral.

How to cite: Belo AS, Silva RV, Pereira RP, Rodrigues JCB. Importance of endodontic diagnosis regarding periapical cemento-osseous dysplasia: literature review. Dental Press Endod. 2017 May-Aug;7(2):32-8. DOI: https://doi.org/10.14436/2358-2545.7.2.032-038.oar

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