International Journal of Clinical Case Reports 2015, Vol.5, No. 37, 1-3
1
A Letter Open Access
Benign Cementoblastoma of Mandible: A Rare Case Report
Mounesh Kumar C.D.
1
, Suresh K.V.
2,
, Yusuf Ahammed A.R.
3
, Pramod R.C
4
, Seema Yadav R.
5
, Vandhana Singh
2
1. Department of Oral & maxillofacial surgery, School of Dental Sciences, Krishna Institute of Medical Sciences, Deemed University, Karad, Satara (District),
Maharashtra (State), India
2. Department of Oral Medicine & Radiology, Bhabha College of Dental sciences, Jatkhedi, Hoshangabad road, Bhopal, Madya Pradesh, India
3. Department of Orthodontics and Dentofacial Orthopaedics, School of Dental Sciences, Krishna Institute of Medical Sciences, Deemed University, Karad,
Satara (District), Maharashtra (State), India
4. Department of Oral Pathology & Microbiology, College of Dental Sciences, Davangere, Karnataka (State), India
5. Department of Periodontology, Mahatma Gandhi Mission’s Dental College and Hospital, Kamothe, Navi Mumbai. Maharashtra (State), India
Corresponding author email
International Journal of Clinical Case Reports, 2015, Vol.5, No.37 doi: 10.5376/ijccr.2015.05.0037
Received: 23 Jun., 2015
Accepted: 11 Aug., 2015
Published: 10 Sep., 2015
Copyright
©
2015 Mounesh Kumar et al., This is an open access article published under the terms of the Creative Commons Attribution License, which permits
unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Preferred citation for this article:
Mounesh Kumar C.D., Suresh K.V., Yusuf Ahammed A.R., Pramod R.C, Seema Yadav .R. and Vandhana Singh, 2015, Benign Cementoblastoma of Mandible:
Report of A Rare Case, International Journal of Clinical Case Reports, 5(37) 1
-
3 (doi
Abstract
The benign cementoblastoma (BC) or ''true'' cementoma is a rare neoplasm arising from the odontogenic ectomesenchyme.
It accounts for 1% to 6.2% of all odontogenic tumors. It more frequently affects young males in an age range of 20 to 30 years,
occurring commonly in the mandible. BC usually presents as a distinct lesion with characteristic radiographic and histopathological
features. It is always slow growing and attached to the roots of posterior teeth. Majority of the BC are asymptomatic until it produces
pain, expansion of the jaws or compression of the inferior alveolar nerve. Well defined radiopacity surrounded by a peripheral
radiolucent halo is the most striking features of BC. Hereby we report the case of BC in a 28 years old female patient and also an
attempt was made to discuss the clinicopathologic features, diagnosis and treatment of BC with brief literature review.
Keywords
Benign cementoblastoma; Benign neoplasm; Odontogenic tumour; True cementoma
Introduction
Benign cementoblastoma is currently classified by the
World Health Organization as an odontogenic
mesenchyme or ectomesenchyme tumor, with or
without involvement of the odontogenic epithelium
(Hubber and Folk, 2009). It is characterized by
proliferation cementum-like tissue that is attached to
the roots of teeth (Ohki et al., 2004). BC is usually
found in the mandible, most commonly in the
pre-molar and molar region (Sumer et al., 2006). Its
prevalence is higher in young male adults under 30
years of age (Zaitoun et al., 2007). Cementoblastomas
are slow growing lesions and are usually asymptomatic;
however pain, and swelling may occur (Neville et al.,
1995). Radiographically, the lesion presents as a
radiopaque mass that is attached to the root tooth,
which is usually vital and is surrounded by a
radiolucent halo (Infante-Cossio et al., 2008).
Histologically, cementoblastoma tissue is similar to
cementum. The clinical and radiological findings are
of great importance for the differential diagnosis of
odontogenic neoplasms which must include osteoblastoma
and focal sclerosing osteomyelitis (Hirai et al., 2010).
The recommended treatment consists of the surgical
removal of the tumor and associated teeth. Cases in
which an early diagnosis is made, the lesion can be
removed in association with the endodontic treatment
of the involved tooth. If the lesion is not completely
removed, recurrence and continued growth can be
observed due to its unlimited growth potential, but this
is not common (Brannon et al., 2002). We present an
rare case of a cementoblastoma involving the left
mandibular body of a 28- years-old female.
Case Report
A 28-year old female patient presented with mild pain
in left mandibular first molar of one month duration.
On clinical examination tooth was tender with
temporary restoration (Figure 1). The remainder of the
examination was within normal limits and oral
hygiene was excellent. Panoramic radiograph showed
a circular radio-opaque mass, approximately 1 cm in
diameter, associated with the distal root of the left
mandibular first molar. The lesion was well demarcated
by a radiolucent halo (Figure 2).
