24-year-old female
A 24-year-old asymptomatic female was referred for evaluation. The radiologist identified an extreme presentation of what appears as florid cemento-osseous dysplasia, with multiple bilateral patchy to lobulated high to mixed-density foci within the alveolar regions of both jaws. The lesions exhibited a heterogeneous cotton-wool and ground-glass appearance blending with adjacent trabecular bone. No associated cortical expansion, cortical destruction, periosteal reaction, tooth displacement, or root resorption was identified. While typically benign, this condition warrants awareness and monitoring for symptom progression.
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