A rare case report of focal cement osseous dysplasia associated with recurrent periodontal abscess

Focal cemento-osseous dysplasia (FocCOD) is a fibro-osseous lesion of the jaw, which is usually asymptomatic. We report the case of FocCOD in association with recurrent periodontal abscess. A 58-year-old female reported a chief complaint of swelling of gums for 2 months. Periodontal abscess with respect to 35 and 36 tooth regions was noted with no associated tooth mobility. Panoramic view showed extensive generalized horizontal bone loss suggestive of generalized chronic periodontitis. There was a characteristic radio-opaque lesion in relation to apices of 34 and 35. The periodontal abscess was recurrently formed even after repeated scaling, curettage, and antibiotic coverage. The associated teeth were extracted along with the hard tissue mass, and the histopathological examination of the latter revealed FocCOD. This case report intends to highlight the diagnostic dilemma and management of a rare, symptomatic FocCOD associated with recurrent periodontal abscess.