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Simultaneous presentation of focal cemento-osseous dysplasia and simple bone cyst of the mandible masquerading as a multilocular radiolucency

¹ Department of Diagnostic Sciences, New Jersey Dental School, Newark, NJ, USA; ² Department of Oral and Maxillofacial Surgery, New Jersey Dental School, Newark, NJ, USA

*Correspondence to: Dr M Mupparapu, Department of Diagnostic Sciences, D-860, New Jersey Dental School, 110 Bergen Street, P.O. Box 1709, Newark, NJ 07101-1709, USA; Email: mupparmu{at}umdnj.edu

Received 14 September 2004; revised 16 November 2004; accepted 19 November 2004

The fibro-osseous lesions represent a large group of disorders that have many common characteristics including clinical, radiographic and microscopic features. Although most are of unknown aetiology, some are believed to be neoplastic and others are related to metabolic imbalances. It is not unusual to see these lesions presenting with a range of radiographic appearances, causing considerable diagnostic confusion owing to their similar histology. This case report presents a histologically benign cemento-osseous lesion that is radiographically consistent with a focal cemento-osseous dysplasia, along with a concomitant simple (traumatic) bone cyst within the right mandibular alveolus, with the initial presentation as a multilocular radiolucency. Pertinent literature is reviewed.

Keywords: simple bone cyst; focal cemento-osseous; dysplasia; biopsy; multilocular radiolucency

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