Etiology • A dysplastic lesion of periodontal membrane origin with no
known cause
Clinical Presentation • An asymptomatic focus of periapical alteration in the
mandibular region; usually anterior • May involve apices of one or more teeth • Noted usually in fourth and fifth decades • Associated teeth are always vital.
Radiographic Findings • Initially, findings of a periapical radiolucency include the
following: • Well-defined, noncorticated border • Less than 1 cm in diameter • Lamina dura usually lost
• With aging, radiodensity increases
Diagnosis • Radiographic features • Associated tooth (teeth) is vital
known cause
Clinical Presentation • An asymptomatic focus of periapical alteration in the
mandibular region; usually anterior • May involve apices of one or more teeth • Noted usually in fourth and fifth decades • Associated teeth are always vital.
Radiographic Findings • Initially, findings of a periapical radiolucency include the
following: • Well-defined, noncorticated border • Less than 1 cm in diameter • Lamina dura usually lost
• With aging, radiodensity increases
Diagnosis • Radiographic features • Associated tooth (teeth) is vital
Differential Diagnosis • Multiple periapical abcesses • Florid osseous dysplasia
Treatment • None; observation only
Prognosis • Excellent