Surgical treatment of cementoblastoma associated with apicoectomy and endodontic therapy: Case report

Abstract

This case report describes the surgical removal of cementoblastoma associated with apicoectomy and endodontic therapy. The patient, an 18-year-old man, presented pain in the region of the mandibular body on the right side. On clinical exam, bone expansion was observed in the region at the bottom of the vestibular sulcus, pain on palpation, slight extrusion of tooth 46 with presence of pulp vitality. Radiographic exams demonstrated the presence of a radiopaque area and discrete radiolucent halo associated with the root of tooth 46, suggesting the diagnosis of cementoblastoma. Endodontic treatment of tooth 46 was performed and exeresis of the lesion by apicoectomy. Twelve months after the first surgery, recurrence of the lesion was observed, and a new apicoectomy was necessary, this time up to the middle third of the root. Clinical radiographic control 12 mo after the second surgical intervention demonstrated absence of signs and symptoms, radiographic repair, with tooth 46 shown to be fully functional.

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...…”

“…Cases have also been treated successfully by root amputation in conjunction with endodontic therapy (Biggs and Benenati, 1995;Costa et al, 2016;Ulmansky et al, 1994).…”

Cementoblastoma in the Maxilla: An Unusual Case Report

“…The combination of clinical, radiographic and histopathological methods is recommended for the diagnosis of this type of lesion, even when pathognomonic signs are present [20]. This protocol was followed in the present case.…”

“…The more invasive consists of excision and extraction of the associated tooth [1,2,4,5,6,7,8,14]. The least invasive being apical resection and root canal treatment of the affected tooth [1,2,20]. In the case reported here, the most invasive method was chosen because it presents a lower rate of recurrence [1,2].…”

“…In the case reported here, the most invasive method was chosen because it presents a lower rate of recurrence [1,2]. The reported recurrence rate ranges from 9-37% [4,6,8,20].…”