Pathology · single question
A 40-year-old African American woman shows MULTIPLE radiolucencies on radiograph and all teeth are VITAL. Diagnosis?
Show answer and explanation
Correct answer: A. Cemento-osseous dysplasia
- A. Correct. Periapical/florid cemento-osseous dysplasia classically occurs in middle-aged Black women with multiple periapical lucencies (early stage) and VITAL teeth.
- B. A periapical granuloma occurs at a NON-vital tooth.
- C. Chronic apical periodontitis is also associated with non-vital teeth.
- D. Fibrous dysplasia gives a ground-glass, expansile lesion, not multiple periapical lucencies with vital teeth.