Case 2: Gingival Recession and Abnormal Lucencies
Patient Presentation[^9]
- Chief Complaint: Gingival recession
Radiographic Findings
Identify and describe the abnormal lucencies present in the image:
- List at least three distinct radiographic features.
- Not completely radio opaque
- Most likely Cemento osseous displaysia
- radiographic bone loss
- Calculus on enamel surfaces
Diagnostic Considerations
- Provide a differential diagnosis (ddx).
- Periapical granuloma
- Cemento osseous dysplasia ( still differential because it has be to be confirmed)
- Determine if further imaging is necessary.
- another PA should be taken after 2 year to see if the COD lesion has matured or is still active
- when it matures it looks more radiolucent