A Case of Extensive Maxillary Benign Cementoblastoma
Rivadávio Fernandes Batista de Amorim, Éricka Janine Dantas Silveira, Mariana Nóbrega França, Maria do Carmo Machado Guimarães, Normeu Lima Júnior, Daniel Rey de Carvalho
Citation Information :
de Amorim RF, Silveira ÉJ, França MN, Guimarães MD, Júnior NL, de Carvalho DR. A Case of Extensive Maxillary Benign Cementoblastoma. J Contemp Dent Pract 2010; 11 (3):56-62.
The aim of the present paper is to report a case of benign cementoblastoma (BC) involving multiple maxillary teeth and discuss the importance of its diagnosis in clinical oral practice.
Background
BC is a rare, benign odontogenic neoplasm of ectomesenchymal origin. This neoplasm has characteristic radiologic and microscopic features, and it is intimately associated with the roots of teeth.
Case Report
The intra-oral examination in a 21-year-old white man revealed a palatine growth in the premolar-molar region. Dental panoramic and periapical radiographies showed a mixed radiodense/radiolucent lesion closely associated with the roots of three maxillary teeth. A biopsy was undertaken and confirmed the clinical hypothesis.
Summary
In most cases, initial BC is asymptomatic and early diagnosis can be performed by routine radiographic examination. BC was considered as an indolent lesion for several years. Nevertheless, recent studies have demonstrated that some BCs may exhibit aggressive biological behavior and can affect several teeth.
Clinical Significance
Because a benign cementoblastoma represents an odontogenic lesion, general practicing professionals must be able to identify the main features of this tumor. This case corroborates some papers that have demonstrated a possible aggressive behavior of BC. Therefore, a brief update concerning the clinical and radiographic features of this unique tumor is also provided.
Citation
Amorim RFB, Silveira EJD, França MN, Guimarães MCM, Lima Júnior N, Carvalho DR. A Case of Extensive Maxillary Benign Cementoblastoma. J Contemp Dent Pract [Internet]. 2010 May; 11(3):056-062. Available from: http://www.thejcdp.com/journal/view/ volume11-issue3-amorim
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