Cementoblastoma in the Maxilla: A Case Report

Abstract

The cementoblastoma is a rare, benign odontogenic tumour. It is generally asymptomatic and usually occurs in young adults. It is more common in males. It is most often associated with mandibular molar teeth and has a characteristic radiographic appearance. This case report is of a young male patient who presented with a cemento blastoma associated with a maxillary second molar. The initial presentation was to his dentist with pain, which was assumed to be of dental origin. This case highlights the importance of adequate radiographic investigation and appropriate interpretation in forming a diagnosis. It also serves as a reminder that rare odontogenic tumours may present initially in primary care and it is essential that all practitioners are aware of them.

Cementoblastoma: An updated analysis of 258 cases reported in the literature

“…These include, for example, Ross et al (Ross et al, 1973) with 49 cases, Tamme et al (Tamme et al, 2004) with 6 cases, Jing et al (Jing et al, 2007) with 33 cases, Avelar et al (Avelar et al, 2008) with 4 cases, and Luo and Li (Luo and Li, 2009) with 22 cases. (Abrams et al, 1974;Adkins and Monsour, 1973;Agrawal et al, 2014;Ahmad et al, 2014;Aiyer and Rajagopal, 2000;Anjum and S., 2014;Anneroth et al, 1975;Assis et al, 2014;Astacio and Mendez, 1974;Baart et al, 1991;Barker et al, 2009;Baughman, 2004;Berwick et al, 1990;Biggs and Benenati, 1995;Brannon et al, 2002;Brocheriou et al, 1979;Buyukkurt et al, 2010;Calb et al, 1998;Caliskan et al, 2016;Cannell, 1991;Carrion Zabarain et al, 1985;Cavadini and Cambiaggi, 1977;Cherrick et al, 1974;Collins and Asturias, 2011;Corio et al, 1976;Costa et al, 2016;Costa et al, 2011;Costa et al, 2012;Cundiff, 2000;Curran and Collins, 1973;da Costa Lomar, 1974;Dadhich and Nilesh, 2015;Damm, 2015 Amorim et al, 2010;de Noronha Santos Netto et al, 2012;Dina...…”

Benign Cementoblastoma Associated with an Impacted Third Molar inside Maxillary Sinus

“…Treatment proposed was total enucleation of lesion with upper central incisor extraction [13]. Depending on the lesion size, its amplitude, and its location, another proposed treatment type was lesion enucleation with teeth apicoectomy [14, 15]. Hirai et al [14] proposed this treatment type of a benign cementoblastoma associated with an erupted canine.…”

“…18-month follow-up showed no lesion relapse and a positive prognostic on the maintained teeth [14]. Baker et al [15] also reported enucleation of the lesion and apicoectomy but cementoblastoma was associated with an erupted maxillary right second molar. Twelve-month follow-up showed no lesion relapse and again, a positive on the maintained teeth [15].…”

“…This treatment would vary according to the lesion location, size, and teeth involved. Enucleation and apicoectomy for small to moderate BC sizes associated with erupted teeth were also found to be efficient, and tooth function was maintained [14, 15]. Literature review reported no recurrence cases.…”