International Journal of Clinical Case Reports 2015, Vol.5, No. 37, 1-3
3
osteitis lacks a peripheral radiolucent halo. BC has
been described as a benign, solitary, slow-growing
lesion, although there have been reports of aggressive
behaviour (Krausen et al., 1977; Goerig et al., 1984;
Costa et al., 2011; Mounesh et al., 2012).
Due to the benign neoplastic nature of the lesion, the
treatment of choice is complete removal of the lesion
with extraction of the associated tooth. A more
conservative technique, to retain the involved tooth
and remove the lesion using a surgical endodontic
approach, has been reported (Costa et al., 2012;
Suresh et al., 2012; Suresh et al., 2013).
It can be used
for small lesions on strategic teeth that can be
completely enucleated without compromising adjacent
teeth and that will maintain a sufficient crown-to-root
ratio after apicoectomy. In present case, surgical
removal of the tumor along with the extraction of the
involved tooth was carried out.
Conclusion
Although the occurrence of BC is not common, the
lesion should be considered in differential diagnosis of
periapical radio-opacities. It is important for the dental
practitioner to be aware of the clinical features which
can lead to an early diagnosis and treatment of this
lesion. The diagnosis is established by its attachment
to the root of tooth. It deserves high academic interest
because of its pathogenesis, clinical/radiographical
presentation and attachment to the tooth root.
References
Brannon R.B., Fowler C.B., Carpenter W.M., and Corio R.L., 2002,
Cementoblastoma: An innocuous neoplasm? A clinicopathologic study
of 44 cases and review of literature with special emphasis on recurrence,
Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and
Endodontology, 93: 311-320
Costa F.W., Pereira K.M., Magalhães Dias M., da Costa Miguel M.C., and
de Paula Miranda M.A., 2011, Maxillary cementoblastoma in a child, J.
Craniofac Surg., 22(5): 1910-1913
Costa F.W., Gois S.R., Esses D.F., Bezerra, Marcelo Ferraro, Soares, and
Eduardo Costa Studart, 2012, Cementoblastoma dos maxilares agressivo,
Considerações sobre a escolha da terapêutica, Revista de Cirurgia e
Traumatologia Buco-Maxilo-Facial (Impresso), 12: 9-12
Goerig A.C., Fay J.T., and King E., 1984, Endodontic treatment of a
cementoblastoma, Oral Surg., 58(2): 133-136
Hirai E., Yamamoto K., Kounoe T., Kondo Y., Yonemasu H., and Kurokawa
H., 2010, Benign cementoblastoma of the anterior maxilla, Journal of
Oral and Maxillofacial Surgery, 68: 671-674
Hubber A.R., and Folk G.S., 2009, Cementoblastoma, Head and Neck
Pathol, 3: 133-135
Infante-Cossio P., Hernandez-Guisado J.M., Acosta-Feria M., and Carranza-
Carranza A., 2008, Cementoblastoma involveing the maxillary sinus, British
Journal of Oral and Maxillofacial Surgery, 46: 234-236
Krausen A.S., Pullon P.A., Gulmen S., Schenck N.L., and Ogura J.H., 1977,
Cementomas-aggressive or innocuous neoplasms? Arch. Otolaryngol.,
6: 349-354
Matteson S.R., 2000, Benign tumors of the jaws. In: White SC, Pharoah M.J.
(Edits.), Oral radiology: principles and interpretation. 4th ed., Toronto:
Mosby, pp.401-402
Mounesh Kumar C.D., Suresh K.V., Praveen Reddy B., and Umashankar
K.V., 2013, Odontogenic Fibromyxoma of Maxilla: A Case Report,
Journal of Krishna Institute of Medical Sciences University, 2: 120-124
Neville B.W., Damm D.D., Allen C.M., and Bouquot J.E., 1995, Oral and
maxillofacial pathology, 1sted. Philadelphia: Saunders, pp.47-67
Ohki K., Kumamoto H., Nitta Y., and Nagasaka H., 2004. Benign
cementoblastoma involving multiple maxillary teeth: Report of a case
with a review of the literature. Oral Surgery, Oral Medicine, Oral
Pathology, Oral Radiology, and Endodontology, 97: 53-58
Regezi J.A., Kerr D.A., and Courtney R.M., 1978, Odontogenic tumors:
analysis of 706 cases, J. Oral Surg, 10: 771-778
Slootweg P.J., 1992, Cementoblastoma and osteoblastoma: a comparison of
histologic features, J. Oral Pathol. Med., 21(9): 385-389
Sumer M., Gunduz K., Sumer P.A., and Gunhan O., 2006, Benign
cementoblastoma: A case report. Medicina Oral, Patología Oral Y
CirugíaBucal, 11: 483-485
Suresh K.V., Mounesh kumar C.D., Mustaq I. Parkar, et al., 2012, Juvenile
aggressive cementoossifying fibroma of maxilla: a case report, Journal
of International Dental and Medical Research, 5: 106-109
Suresh K.V., Mounesh Kumar C.D., Pramod R.C., Anand S.R., Raghavendra M.N.,
et al., 2012, An Unusual Case of Odontogenic Fibromyxoma of Anterior
Maxilla, International Journal of Oral &Maxillofacial Pathology, 4: 60-63
Zaitoun H., Kujan O., and Sloan P., 2007, An unusual recurrent
cementoblastoma associated with a developing lower second molar
tooth: A case report, Journal of Oral and Maxillofacial Surgery, 65:
2080-2082
