Bilateral cemento-osseous dysplasia of mandible
During routine dental exam and X-rays, the patient was noted with radiolucency involving both sides of the mandible. Patient had endodontic evaluation and all teeth were noted to be vital. Clinically, patient exhibited an expansive area buccal to #19. Patient had no pain or any other symptoms. A cone beam CT scan (CBCT) was obtained showing defined areas of decreased calcification on both sides and a mixed lesion at the apex of lower central incisors. There were no mobilities.
Based on the presentation of the bilateral bony lesions, positive vitality of the teeth, and absence of any symptoms, as well as the radiographic appearance, the condition appears consistent with focal cemento-osseous dysplasia.
Treatment options? When and why would you consider a biopsy? What would be potential risks of surgical interventions?