{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T02:31:22Z","timestamp":1788229882027,"version":"build-2803163510"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>Periapical lesions with mixed radiographic appearance can have odontogenic or nonodontogenic origin. A number of neoplastic lesions either benign or malignant can present as radiolucent, radiopaque, or mixed in jaws and if present near the root apices can be misdiagnosed as odontogenic infection\/etiology. The present case report describes a rare case of two elongated radiopaque structures within periapical pathology located beneath the apices of mandibular central incisors in a 26-year-old male. Further, it describes its nonsurgical and surgical endodontic management along with histological confirmation and long-term radiographic healing outcome using cone-beam computed tomography. Microscopic examination revealed the presence of dentin and cementum with fringes of periodontal ligament suggestive of tooth-like structures. No case report has yet reported tooth-like calcifications within the large periapical lesion. Biopsy of such lesions is deemed necessary to differentiate from nonodontogenic lesions which could be benign or malignant in nature.<\/jats:p>","DOI":"10.4103\/jcde.jcde_510_24","type":"journal-article","created":{"date-parts":[[2024,9,7]],"date-time":"2024-09-07T15:28:14Z","timestamp":1725722894000},"page":"988-992","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["A rare case report on endodontic management of calcified structures within large periapical pathology: An 8-year follow-up outcome"],"prefix":"10.4103","volume":"27","author":[{"given":"Mohit","family":"Galani","sequence":"first","affiliation":[{"name":"Department of Dentistry, All India Institute of Medical Sciences, Rajkot, Gujarat, India"},{"name":"Department of Conservative Dentistry and Endodontics, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, 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