Radiographic Progression of Focal Cemento-Osseous Dysplasia in 10 years: A Case Report

Fibro-cemento-osseous dysplasias are benign fibro-osseous lesions that develop when normal bone tissue is replaced by fibrous tissue and cement-like structures. These lesions are generally asymptomatic and occur more frequently in women. Initially, the lesions appear radiolucent on radiographs, but they gradually acquire a mixed radiolucent-radioopaque appearance. In advanced stages, the lesions transform into radioopaque structures surrounded by a thin radiolucent band. This case report presents the 10-year radiological evolution findings of a 45-year-old female patient with focal cemento-osseous dysplasia. The dysplasia was incidentally detected in the right posterior mandibular region during a routine dental examination. The findings reveal the lesion's characteristic radiological evolution with enlargement of the radioopaque aspect and its clinically asymptomatic course.