This case report describes the surgical removal of cementoblastoma associated with apicoectomy and endodontic therapy. The patient, an 18-year-old man, presented pain in the region of the mandibular body on the right ...This case report describes the surgical removal of cementoblastoma associated with apicoectomy and endodontic therapy. The patient, an 18-year-old man, presented pain in the region of the mandibular body on the right side. On clinical exam, bone expansion was observed in the region at the bottom of the vestibular sulcus, pain on palpation, slight extrusion of tooth 46 with presence of pulp vitality. Radiographic exams demonstrated the presence of a radiopaque area and discrete radiolucent halo associated with the root of tooth 46, suggesting the diagnosis of cementoblastoma. Endodontic treatment of tooth 46 was performed and exeresis of the lesion by apicoectomy. Twelve months after the first surgery, recurrence of the lesion was observed, and a new apicoectomy was necessary, this time up to the middle third of the root. Clinical radiographic control 12 mo after the second surgical intervention demonstrated absence of signs and symptoms, radiographic repair, with tooth 46 shown to be fully functional.展开更多
The cementoblastoma is a very rare odontogenic neoplasm characterised by the formation of cementum-like tissue in connection with the root of a tooth. An 18-year-old boy was referred to the Clinic of Oral Pathology of...The cementoblastoma is a very rare odontogenic neoplasm characterised by the formation of cementum-like tissue in connection with the root of a tooth. An 18-year-old boy was referred to the Clinic of Oral Pathology of the School of Dentistry, Universidade Federal de Minas Gerais, Brazil, complaining of an irradiating, itching pain from the region of the lower right first molar. He reported that the symptoms began three months prior, with a gradual increase in intensity during this period. The pain episodes were of short duration, with characteristics of toothache originating from the pulp. Upon intra-oral clinical examination, an open bite and slight increase in volume at the buccal alveolar region of the lower right first molar was observed. He also reported palpation and percussion pain symptoms in this region. Electrical, heat and cold pulp vitality tests were performed, and the tooth was vital. Periapical and panoramic radiographs showed radiolucent images with diffuse, poorly defined borders at the mesial root periapex extending to the interradicular region suggesting an inflammatory periapical lesion. In this early presentation, the three-dimensional image was fundamental to the final diagnosis of cementoblastoma.展开更多
Introduction: According to the 2017 WHO classification of head and neck tumors, osseous dysplasia is called cementoblastoma, predominantly occuring in melanoderm women. Its discovery is often in the fourth decade of l...Introduction: According to the 2017 WHO classification of head and neck tumors, osseous dysplasia is called cementoblastoma, predominantly occuring in melanoderm women. Its discovery is often in the fourth decade of life at the stage of radiopaque bone lesions. The treatment is surgical. Our aim was to report a singular case of cementoblastoma. Observation: The 54-year-old male patient came for a dental prosthetic rehabilitation. Based on the routine orthopantomogram (OPT) findings, the patient was subsequently referred to oral surgery. Dental lesions was suggestive of cementoblastoma. Abstention was recommended regarding the tumor which is still clinically silent subject to monitoring of the underlying tumor progression. There was no further contact with the patient. Discussion: The male sex does not fit into the classic epidemiological profile of this tumor which almost always affects women. The late discovery is due to silent development of the tumor and poor access to care. It is also explained by the lack of knowledge of tumor processes and the rarity of global X-ray explorations given the prior history of dental avulsions. Beyond prosthetic care, monitoring of the underlying tumor progression was dependent on the prevailing work conditions in which surgical intervention is systematic. Conclusion: Cementoblastoma is a possibility to consider for male patient.展开更多
文摘This case report describes the surgical removal of cementoblastoma associated with apicoectomy and endodontic therapy. The patient, an 18-year-old man, presented pain in the region of the mandibular body on the right side. On clinical exam, bone expansion was observed in the region at the bottom of the vestibular sulcus, pain on palpation, slight extrusion of tooth 46 with presence of pulp vitality. Radiographic exams demonstrated the presence of a radiopaque area and discrete radiolucent halo associated with the root of tooth 46, suggesting the diagnosis of cementoblastoma. Endodontic treatment of tooth 46 was performed and exeresis of the lesion by apicoectomy. Twelve months after the first surgery, recurrence of the lesion was observed, and a new apicoectomy was necessary, this time up to the middle third of the root. Clinical radiographic control 12 mo after the second surgical intervention demonstrated absence of signs and symptoms, radiographic repair, with tooth 46 shown to be fully functional.
文摘The cementoblastoma is a very rare odontogenic neoplasm characterised by the formation of cementum-like tissue in connection with the root of a tooth. An 18-year-old boy was referred to the Clinic of Oral Pathology of the School of Dentistry, Universidade Federal de Minas Gerais, Brazil, complaining of an irradiating, itching pain from the region of the lower right first molar. He reported that the symptoms began three months prior, with a gradual increase in intensity during this period. The pain episodes were of short duration, with characteristics of toothache originating from the pulp. Upon intra-oral clinical examination, an open bite and slight increase in volume at the buccal alveolar region of the lower right first molar was observed. He also reported palpation and percussion pain symptoms in this region. Electrical, heat and cold pulp vitality tests were performed, and the tooth was vital. Periapical and panoramic radiographs showed radiolucent images with diffuse, poorly defined borders at the mesial root periapex extending to the interradicular region suggesting an inflammatory periapical lesion. In this early presentation, the three-dimensional image was fundamental to the final diagnosis of cementoblastoma.
文摘Introduction: According to the 2017 WHO classification of head and neck tumors, osseous dysplasia is called cementoblastoma, predominantly occuring in melanoderm women. Its discovery is often in the fourth decade of life at the stage of radiopaque bone lesions. The treatment is surgical. Our aim was to report a singular case of cementoblastoma. Observation: The 54-year-old male patient came for a dental prosthetic rehabilitation. Based on the routine orthopantomogram (OPT) findings, the patient was subsequently referred to oral surgery. Dental lesions was suggestive of cementoblastoma. Abstention was recommended regarding the tumor which is still clinically silent subject to monitoring of the underlying tumor progression. There was no further contact with the patient. Discussion: The male sex does not fit into the classic epidemiological profile of this tumor which almost always affects women. The late discovery is due to silent development of the tumor and poor access to care. It is also explained by the lack of knowledge of tumor processes and the rarity of global X-ray explorations given the prior history of dental avulsions. Beyond prosthetic care, monitoring of the underlying tumor progression was dependent on the prevailing work conditions in which surgical intervention is systematic. Conclusion: Cementoblastoma is a possibility to consider for male patient.
