Idiopathic sclerosis is described as a radiopacity condition with unclear origin, of different shape and size, not associated with pathologic conditions of dental pulp, inflammatory and neoplastic process. Condensing osteitis is characterized by periapical bone formation. Such bone changes could be found accidentally on radiographic examination. The aim of the present case report refers to a female patient with radiopacity lesion of mandible in the left premolar region with clinical manifestations – tension and pain on percussion, caused by the lower second premolar. The surgical protocol includes bone lesion removal and apicoectomy of the lower left second premolar, followed by pathohistological examination. Clinically, this condition resembled condensing osteitis, pathohistological results showing idiopathic sclerosis changes. The postoperative period produced no complications.
Keywords:- apicoectomy
- enostosis
- osteosclerosis
- treatment