Conservative treatment of a periapical cementoblastoma: a case report

Publication date: Available online 12 October 2018

Source: Journal of Oral and Maxillofacial Surgery

Author(s): Daniella Cristina Borges, Paulo Rogério de Faria, Helvécio Marangon Júnior, Leonardo Bíscaro Pereira

ABSTRACT

Cementoblastoma is a rare, benign odontogenic neoplasm of ectomesenchymal origin, accounting for less than 6% of all odontogenic tumors. Although the tumor characteristics are well-known, the standard practice to treat this lesion is surgical excision along with the extraction of the affected tooth, with few reported cases using a tooth-conservative treatment approach. This report presents the case of a 33-year-old cementoblastoma-affected woman who underwent conservative treatment to preserve her tooth in the oral cavity. Endodontic treatment of the tooth was performed; 30 days later, the lesion was removed along with the apical third of the root of the tooth. After 7 years of follow-up, no recurrence was observed, and the tooth retains its masticatory function. In certain cases of cementoblastoma, the affected tooth may be kept in the oral cavity instead of being extracted, thereby preserving the oral health of patients.

https://ift.tt/2ND7zti