Cemento-osseous dysplasia is a benign condition of the jaws that may arise from the fibroblasts of the periodontal ligaments. It is most common in African-American females. The three types are periapical cemental dysplasia (common in blacks), focal cemento-osseous dysplasia (caucasians), and florid cemento-osseous dysplasia (blacks).
Symptoms such as dull pain or drainage are almost always associated with exposure of sclerotic calcified masses in the oral cavity. This may occur as the result of progressive alveolar atrophy under a denture or after extraction of teeth in the affected area (6,12).
Management of these conditions involves clinical-radiographic follow-up. Endodontic therapy should not be done before a definitive diagnosis is obtained, especially when it is based solely on radiographic findings and no other signs and syntoms are present (14).