Contribution of characteristics associated with cemento-osseous dysplasias for the differential diagnosis with other more invasive pathologies

Most fibro-osseous lesions are radiographic findings observed as radiopaque and radiolucent images, usually asymptomatic. Objective: To study the contribution of radiographic characteristics associated with cemento-osseous dysplasias to the differential diagnosis with other more severe and invasive pathologies. Materials and methods: In this study, 254 radiopaque and radiolucent images were analyzed, detected in orthopantomographies, performed in the first consultation, compatible with cemento-osseous dysplasias. Results: Lesions with irregularly shaped edges present a significantly higher proportion when associated with teeth. As the size of the lesions increases, the likelihood that their shape is irregular increases. Conclusions: The similarity of these pathologies with other lesions imposes the need to make a differential diagnosis taking into account the clinical history, radiographic and histological characteristics of these lesions for a correct treatment and monitoring of the patient. Clinical relevance: It is essential that the dentist is familiar with the diagnosis of these lesions found on routine radiographs, for a correct therapeutic approach.