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O-60 Clinical Overview Odontogenic Tumors cont d Disease Clinical Features Radiographic Appearance Other Features Cementoblastoma Second and third many years; Radiopaque lesion; hooked up May trigger cortical expansion; root of posterior tooth; man to and replaces root; tooth and lesion removed dible more than maxilla opaque spicules radiate together; no signs; uncommon from central space Periapical cemento-osseous Fifth decade; mandible, espe Starts as periapical radiolucen May be a reactive process; dysplasia cially apices of anterior cies that finally turn out to be at all times associated with important teeth; usually a couple of opaque in months to years enamel; requires no therapy; tooth affected asymptomatic; frequent; rare variant known as forid cemento-osseous dysplasia represents extreme form which will have an effect on one to four quadrants and should have complications of continual osteomyelitis and traumatic bone cysts Odontoma Second decade; any location, Radiopaque; compound type: May block eruption of a per particularly anterior mandible tooth shapes obvious; manent tooth; complex kind and maxilla advanced sort: uniform radi rarely causes cortical expan opaque mass sion, no recurrence; com pound type appears as many miniature teeth; com plex sort is conglomeration of enamel and dentin; prob ably represents hamartoma quite than neoplasm; widespread Ameloblastic fbroma and First and second many years; Well-defned radiolucency; Well encapsulated; recurrence ameloblastic fbro-odontoma mandibular molar-ramus may be multilocular and not expected; no symp space; typically in a dentigerous massive; fbro-odontoma may toms; if odontoma present, relationship with tooth have related opaque lesion is known as ameloblastic mass representing an fbro-odontoma; rare odontoma Clinical Overview O-sixty one Figure 88 Periapical cemento-osseous dysplasia. 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