Pindborg tumor associated with a supernumerary tooth: a case report

Abstract

The calcifying epithelial odontogenic tumor is a rare benign neoplasm that accounts for approximately 1% of all odontogenic tumors. Most of the cases occur in the posterior mandible, and a few involve the maxilla. Despite their relatively indolent biological behavior, tumors in the maxilla tend to grow fast. We report the case of a 33-year-old female patient exhibiting swelling in the right maxilla. An isodense area associated with an impacted supernumerary tooth was found on imaging examination. The histopathologic diagnosis was a calcifying epithelial odontogenic tumor. The treatment of choice was surgical removal of the lesion and associated dental elements. The patient has been followed up for 11 months and shows no signs of recurrence. Besides describing this case, we reviewed the literature on the association of calcifying epithelial odontogenic tumors with supernumerary teeth and found two case reports addressing this subject.

Clinical, Radiological features of Calcifying Epithelial Odontogenic Tumor: Report of two rare cases

“…According to various literature, recurrence rate of 14% is reported after the conservative management. 2 Two cases of CEOTs manifested as central and peripheral type are reported in the present article.…”

“…It is two times more common in the mandible than the maxilla. 2 CEOT have been reported in all age groups, with a mean age of 43.5 years. It is found to affect both genders equally.…”

Calcifying Epithelial Odontogenic Tumour (Pindborg Tumour): Report of Two Clinical Cases with A Rare Maxillary Localization

“…Maxillary tumors are observed in 25% to 41% of cases and generally occur in the posterior region. Peripheral CEOT accounts for about 10% of cases and has a predilection for the anterior gingiva[3,4,7,8]. The present reports adds to the small number of CEOT cases located in the maxilla since most cases occur in the posterior mandible.…”

“…No gender preference has been reported. The majority of CEOTs are intraosseous (96%), with the mandible being more affected than the maxilla [3].…”

Giant calcifying epithelial odontogenic tumor after I-125 seed implantation: A case report

“…CEOT can also cause facial deformities, tooth loosening, and displacement in the diseased area. If it occurs at the maxilla, patients will have symptoms such as nasal congestion, nosebleed, and headache, and maxillary tumors tend to grow rapidly and unrestricted [ 6 ]. The radiological findings of CEOT are varied and are related to the tumor's size, location, and the number of mineralized products.…”