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It's diagnosis becomes important so the treating doctor doesn't confuse it for another periapical disease such as rarefying osteitis or condensing osteitis.
Being that it is the most common fibro-osseous lesion, although relatively rare compared to rarefying osteitis, incorrect diagnosis would lead to many unnecessary root canal treatments.
Rarefying osteitis is a general term for a radiolucent lesion on a radiograph usually diagnosed as a periapical abscess or a periapical cyst.