What demographic is primarily affected by cementoma (periapical cemental dysplasia)?

Cementoma, also known as periapical cemental dysplasia, predominantly affects African American women, particularly those in their middle age. This demographic is seen as the primary group affected due to a combination of genetic, hormonal, and possibly environmental factors that influence the development of this condition.

Cementoma typically presents as asymptomatic radiolucent lesions in the periapical regions of the teeth, and is often discovered incidentally during routine dental examinations or radiographs. The condition is more prevalent in women compared to men, and the frequency among African Americans is significantly higher than in other ethnic groups.

Other demographics such as middle-aged men, children under 10, and elderly individuals are not commonly associated with cementoma, making them less representative of the condition's primary affected group. Thus, the option specifying African American women aligns well with prevalent clinical observations and research regarding this particular oral pathosis.