What diagnosis is associated with radiolucent balls around the mandibular incisors?

Periapical cemental dysplasia is often characterized by the presence of radiolucent lesions, typically associated with the roots of mandibular incisors. This condition primarily affects the periapical region of vital teeth and is more common in middle-aged African American women. It presents as well-defined radiolucent areas, which can evolve over time to exhibit radiopaque features as the benign condition progresses.

The radiolucent appearance around the roots of the mandibular incisors is indicative of the initial stages of periapical cemental dysplasia, where the bone remodeling occurs around the apices of the teeth. This condition is not associated with any significant swelling or discomfort, as it involves vital teeth, which is a key aspect distinguishing it from other lesions that might present similar radiological findings but involve non-vital teeth or more aggressive behaviors.

Other conditions listed, while they might present with radiolucencies, typically have different clinical and radiological presentations. For example, odontogenic keratocysts are often associated with a unilocular or multilocular radiolucent pattern and can displace teeth and cause expansion of the jaw. Cementoblastomas usually present as radiopaque lesions attached to the roots of teeth rather than purely radiol