ABSTRACT
El cementoblastoma, también llamado cementoma verdadero, fue reconocido primeramente por Norberg en 1930. Este se encuentra dentro de los tumores derivados del ectomesenquima odontogénico y puede estar asociado con múltiples dientes. Se encuentran publicados en la literatura muchos casos de cementoblastoma, pero pocos reportan un seguimiento adecuado. Sólo Brannon y col. realizaron un seguimiento de 35 casos, encontraron algunas características clínicas como dolor, expansión y erosión de las corticales, comunes de los casos recidivantes, siendo la resección segmental o en bloque, un factor decisivo para la no recidiva, hemos tomado como referencia su trabajo por la representatividad y la manera que abordaron el tema. Este trabajo tiene como objetivo informar y evidenciar el manejo de un caso de cementoblastoma; describir una situación clínica de una paciente con un cementoblastoma benigno en maxilar superior izauierdo, asociado a un canino temporal y un primer molar, y presentar histopatología revisión de la literatura, tratamiento quirúrgico, rehabilitación y seguimiento a través de los años en los cuales la paciente no presentó recidiva.
Subject(s)
Female , Humans , Adolescent , Cementoma/classification , Cementoma/pathology , Cementoma/rehabilitation , Cementoma/surgery , Oral Surgical Procedures/methods , RecurrenceABSTRACT
Cementoblastoma is a rare odontogenic tumor derived from the odontogenic mesenchymal tissues. It has distinct clinical, radiographical, and histological features that aid in correct diagnosis. This article presented a case of 35-year-old female patient with pain and swelling in the right cheek region. Radiographic examination was suggestive of benign cementoblastoma in relation to unerupted right maxillary third molar. The tumor was surgically removed along with tooth, and the diagnosis of cementoblastoma was confirmed by histopathology examination.
ABSTRACT
A benign cementoblastoma, which is another name for a true cementoma, is a rare neoplasm that develops from odontogenic ectomesenchyme. It is characterized by a mineralized mass attached to the apex of the root produced by neoplastic cementoblasts. More than 75% of cases arise in the mandible, with 90% of them manifesting in the molar and premolar regions. This neoplasm occurs most commonly in children and young adults, with males being affected slightly more than females. Radiographically, the tumor is observed as a well-defined radiopaque mass that is fused to a tooth root and is surrounded by a radiolucent rim. The treatment of benign cementoblastoma consists of removal of the lesion and extraction of the affected tooth. This report presents an unusual case of benign cementoblastoma in a 31-year-old female, presenting as a densely mineralized mass seen at the apex of the impacted right mandibular canine tooth on radiographs.
Subject(s)
Adult , Child , Female , Humans , Male , Young Adult , Bicuspid , Cementoma , Cuspid , Dental Cementum , Mandible , Miners , Molar , Odontogenic Tumors , Tooth , Tooth RootABSTRACT
El Osteoblastoma (OB) es un tumor benigno formador de tejido óseo de aparición muy rara en los maxilares. Su diagnóstico puede ser un gran reto para el patólogo bucal, ya que las características histopatológicas se asemejan a otros tumores más frecuentes en el macizo maxilofacial; por lo que es importante conocer a profundidad sus características clínicas, radiográficas e histopatológicas que nos conduzcan al diagnóstico asertivo de OB. Hasta los actuales momentos la última recopilación de casos de OB maxilares publicados en la literatura fue hecha por Morelos et al hasta el año 2011, quien obtuvo 88 casos. El objetivo de esta investigación fue realizar una revisión bibliográfica exhaustiva de casos documentados hasta la fecha en revisiones sistemáticas previas, obteniéndose 119 casos de OB maxilares. Adicionalmente, se aporta un caso más de OB de maxilar superior a la literatura académica...
Osteoblastoma is a rare bone-forming tumor that very rarely involves the jaws. The diagnosis should be very difficult to oral pathology expert because their histopathologic features are resembled with other bony tumors of the maxillofacial region. Therefore, is very important have depth knowledge about the clinical, radiographic and histopathologic features of OB, to make the correct diagnosis. Before this report, the last collection of maxillary OB cases was made by Morelos et al until the year 2011; they obtained 88 cases in their study. The main aim of this research was provide a systematic review of previously published cases; the result was 119 cases of maxillary OB. In addition, this paper added one more case of this rare lesion to the academic literature...
Subject(s)
Humans , Male , Adolescent , Adult , Female , Child , Young Adult , Fibroma, Ossifying/diagnosis , Fibroma, Ossifying/physiopathology , Bone and Bones/anatomy & histology , Bone and Bones/pathology , Maxillary Sinus Neoplasms/physiopathology , Osteoblastoma/diagnosis , Osteoblastoma/pathology , Bone Neoplasms , Mouth Neoplasms , Osteogenesis , Pathology, OralABSTRACT
O cementoblastoma benigno (CB) é um tumor odontogênico raro, de crescimento lento e ilimitado. Ocorre mais frequentemente em caucasianos, entre as 2ª e 3ª décadas de vida, sem predileção por gênero. Mais comum na mandíbula, área de molares e pré-molares, geralmente envolve o primeiro molar permanente. Em imagem radiográfica, apresenta massa radiopaca delimitada por delgada linha radioluscente, simulando uma hipercementose. Em cortes histológicos, assemelha-se fortemente com osteoma osteoide, osteosarcoma ou osteoblastoma benigno. O objetivo do presente trabalho foi descrever um caso incomum de cementoblastoma. I.D.S., gênero masculino, melanoderma, 32 anos que compareceu ao ambulatório do Grupo de Apoio Aprendizes do Amor Cristão - GAAAC, Brasília - DF, sem queixa de dor, portando lesão na região do 2º molar mandibular esquerdo, apresentando imagem radiográfica sugestiva de cementoblastoma. O tratamento consistiu na remoção completa da lesão acompanhada de extração do dente 37. Após dois anos, observou-se a remissão dos sinais, não havendo recorrência do tumor. O caso relatado apresentou como variante incomum ter acometido indivíduo da raça negra, relacionado ao 2º molar mandibular esquerdo - 3%. O sítio de localização atípico e as discrepâncias encontradas entre o presente relato e a literatura reforçam a importância do diagnóstico e a pesquisa por novas evidências relacionadas ao cementoblastoma.
The cementoblastoma benign (CB) is a rare odontogenic tumor, slow growth and unlimited. It occurs more frequently in caucasians, between 2nd and 3rd decades of life, with no predilection for gender. More common in the mandible area of molars and premolars, usually involving the first permanent molar. In radiographic image shows a radiopaque mass bounded by thin radiolucent line simulating a hypercementosis. Using histological resembles strongly with osteoid osteoma, osteosarcoma and benign osteoblastoma. The aim of this study was to describe an unusual case of cementoblastoma. IDS, male, melanoderma, 32 years old, came to the Grupo de Apoio Aprendizes do Amor Cristão - GAAAC, Brasília - DF, without pain, with a lesion in the 2nd left molar region, presenting radiographic image suggestive of cementoblastoma. The treatment consisted of complete removal of the lesion accompanied by the extraction of the tooth 37. After two years, there was remission of signs, with no tumor recurrence. This case presents unusual variant as the fact that it involved an individual of black, related to 2nd left mandibular molar - 3%. The rarity of the condition and the discrepancies found between this case and the literature of reinforce even more the importance of any new evidence related to cementoblastoma.
ABSTRACT
Cementoblastoma constitui-se em um neoplasma odontogênico, considerado raro por representar cerca de 1% a 6.2% de todos os tumores odontogênicos. Essa lesão tem sido descrita mais comumente em pacientes jovens, com cerca de 73% dos casos ocorrendo em idades inferiores a 30 anos. Caracteriza-se, sob o aspecto clínico e radiográfico, como uma tumefação geralmente indolor, intimamente associado à raiz de dentes multirradiculares. Geralmente, o tratamento reserva-se à remoção cirúrgica da lesão juntamente com o dente envolvido. O objetivo do presente trabalho é o de relatar o caso de cementoblastoma tratado com base na terapia combinada endodôntica e cirúrgica.
Cementoblastoma constitutes an odontogenic neoplasm, and is considered rare as it accounts for about 1% to 6.2% of all odontogenic tumors. This lesion has been described most commonly in young patients, with about 73% of cases occurring in those under 30 years of age. On the basis of its clinical and radiological features, it is characterized as a usually painless swelling, closely associated with the root of multiradicular teeth. Treatment is generally limited to the surgical removal of the lesion together with the tooth involved. The aim of this paper is to report a case of cementoblastoma treated by a combination of endodontic and surgical therapy.
ABSTRACT
Cementoblastoma benigno é uma neoplasia odontogênica relativamente rara caracterizada, pela formação de uma massa de tecido semelhante ao cemento, em conexão com a raiz do dente. Radiograficamente está aderido à porção apical ou lateral da raiz e se apresenta como uma massa radiopaca densa, bem delimitada e circundada por um halo radiotransparente fino e uniforme. Neste artigo, os achados clínicos e radiográficos de um caso de Cementoblastoma benigno são apresentados.
Benign cementoblastoma is a relatively rare odontogenic neoplasm characterized by the formation of a mass of cementum-like tissue, connected to the root of the tooth. Radiographically, it is attached to the apical or lateral root and presents as a well-defined, dense radiopaque mass, surrounded by a thin and uniform radiolucent halo. In this article, the clinical, radiographic and therapeutic features of a case of benign cementoblastoma are presented.
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