Presentation
The patient has been experiencing pain in the lower left posterior teeth region for the past 10 days. The pain is described as sharp, lancinating, and intermittent, exacerbated particularly during eating.
Patient Data
CBCT imaging, including axial, coronal, sagittal, and panoramic views, demonstrates diffuse osteosclerosis over the entire dentition of the maxilla and mandible, suggestive of osseous dysplasia.
Additionally, in the sagittal section, radiopaque density involving the left maxillary sinus suggests maxillary sinusitis.
Case Discussion
Osseous dysplasia is a benign fibro-osseous lesion where in the normal bone is replaced by mineralized tissue, predominantly identified as an incidental finding during routine radiographs.
Florid cemento-osseous dysplasia (a rare entity) involves bilateral multifocal lesions of the jaws. The maturity of the lesion is identified on serial radiographs, displaying radiolucency or mixed radiopacities. This differentiation in the stages of the lesion provides a radiologically-based diagnosis.
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