Mandibular cementoblastoma: Case report

Cintia Mussi Milani, César Augusto Thomé, Rosangela Sayuri Saga Kamikawa, Mariana Daniel da Silva, Maria Angela Naval Machado

Postgraduate Student, Center for Health and Biological Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil.
Private Practice, Curitiba, Brazil.
Professor of Oral Pathology, Universidade Federal do Paraná, Curitiba, Brazil.
Professor of Oral Radiology, Associa??o Brasileira de Odontologia-Se??o Paraná, Curitiba, Brazil.
Professor of Oral Surgery and Stomatology, Universidade Tuiuti do Paraná, Curitiba, Brazil.

DOI: 10.4236/ojst.2012.21009                

Abstract

Cementoblastoma is a rare benign lesion that represents less than 1% of all odontogenic tumours. It’s characterized by proliferation of cementum-like tissue and in almost all cases tends to be associated with an erupted permanent tooth, most often the first mo- lar. We present an unusual case of a large cemento-blastoma that affected the right mandibular body, extending from the first premolar to the second molar, of a 19-years-old male. In this case an initial surgery was attempted under local anaesthesia, resulting in incomplete tumor removal. A second surgical procedure was performed under general anaesthesia, ensuring the complete excision of the lesion. The patient was monitored for 1 year after surgery and did not show any signs of recurrence.

Keywords

Odontogenic Tumor; Cementoblasts; Oral Surgery

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Hubber, A.R. and Folk, G.S. (2009) Cementoblastoma. Head and Neck Pathol, 3, 133-135. doi:10.1007/s12105-008-0099-5
[2]	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. doi:10.1067/moe.2002.121993
[3]	Ohki, K., Kumamoto, H., Nitta, Y., Nagasaka, H., Kawamura, H. and Ooya, K. (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. doi:10.1016/j.tripleo.2003.08.012
[4]	Barnes, L., Eveson, J.W., Reichart, P. and Sidransky, D. (2005) World Health Organization Classification of tumours: Pathology and genetics of tumours of the head and neck. IARC Press, Lyon.
[5]	Lee, Y., Xuan, M., Takata, T., Wang, C., He, Z., Zhou, Z., Mock, D. and Nickai, H. (1998) Odontogenic tumors. A demographic study of 759 cases in a chinese population. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 86, 707-714.
[6]	Ochsenius, G., Ortega, A., Godoy, L., Penafieli C. and Escobar, E. (2002) Odontogenic Tumors in Chile: A study of 362 cases. Journal of Oral Pathology & Medicine, 31, 415-420. doi:10.1034/j.1600-0714.2002.00073.x
[7]	Cundiff, E.J. (2000) Developing cementoblastoma: Case report and update of differential diagnosis. Quintessence International, 31, 191-195.
[8]	Sumer, M., Gunduz, K., Sumer, P.A. and Gunhan, O. (2006) Benign cementoblastoma: A case report. Medicina Oral, Patología Oral y Cirugía Bucal, 11, 483-485.
[9]	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. doi:10.1016/j.joms.2006.06.288
[10]	Vieira, A.P.G.F., Meneses, J.M.S. Jr. and Maia, R.L. (2007) Cementoblastoma related to a primary tooth: A case report. Journal of Oral Pathology & Medicine, 36, 117-119. doi:10.1111/j.1600-0714.2007.00465.x
[11]	Piattelli, A., Di Alberti, L., Scarano, A. and Piatelli, M. (1998) Benign cementoblastoma associated with an unerupted third molar. Oral Oncology, 34, 229-231.
[12]	Pontes, F.S.C., Carneiro, J.T. Jr., Ribeiro, A.L.R., Gon?alves, A. Jr., Fonseca, F.P., Pontes, H.A.R. and Pinto, D.S. Jr. (2008) Cementoblastoma previously misdiagnosed as fibrous dysplasia: Report of an uncommon case and discussion of the differential diagnosis. International Journal of Pediatric Otorhinolaryngology Extra, 3, 182-187. doi:10.1016/j.pedex.2008.04.001
[13]	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. doi:10.1016/j.bjoms.2007.03.009
[14]	Baart, J.A., Lekkas, C. and Van der Waal, I. (1991) Residual cementoblastoma of the mandible. Journal of Oral Pathology & Medicine, 20, 300-302. doi:10.1111/j.1600-0714.1991.tb00932.x
[15]	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. doi:10.1016/j.joms.2009.03.060
[16]	Ulmanski, M., Hansen, E., Praetorius, F. and Haque, M.F. (1994) Benign Cementoblastoma: A review and five new cases. Oral Surgery, Oral Medicine, Oral Pathology, 77, 48-55. doi:10.1016/S0030-4220(06)80106-4
[17]	Biggs, J.T. and Benenati, F.W. (1995) Surgically treating a benign cementoblastoma while retaining the involved tooth. Journal of the American Dental Association, 126, 1288-1290.
[18]	Slootweg, P.J. (1992) Cementoblastoma and osteoblastoma: A comparison of histologic features. Journal of Oral Pathology & Medicine, 21, 385-389. doi:10.1111/j.1600-0714.1992.tb01024.x