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    GDC Case Report

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    Aditi Mishra
    A 13-year-old boy presented with a swelling in his lower left jaw that increased in size after a tooth was extracted. Radiographs and CT scans revealed a hard, radiopaque mass associated with the roots of the extracted tooth. The mass was surgically excised along with the involved tooth. Histopathological examination confirmed the diagnosis of benign cementoblastoma, a rare odontogenic tumor formed of cementum-like tissue that is usually associated with the roots of primary or permanent teeth.

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    GDC Case Report

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    Aditi Mishra
    43 views2 pages
    A 13-year-old boy presented with a swelling in his lower left jaw that increased in size after a tooth was extracted. Radiographs and CT scans revealed a hard, radiopaque mass associated with the roots of the extracted tooth. The mass was surgically excised along with the involved tooth. Histopathological examination confirmed the diagnosis of benign cementoblastoma, a rare odontogenic tumor formed of cementum-like tissue that is usually associated with the roots of primary or permanent teeth.

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    A 13-year-old boy presented with a swelling in his lower left jaw that increased in size after a tooth was extracted. Radiographs and CT scans revealed a hard, radiopaque mass associated with the roots of the extracted tooth. The mass was surgically excised along with the involved tooth. Histopathological examination confirmed the diagnosis of benign cementoblastoma, a rare odontogenic tumor formed of cementum-like tissue that is usually associated with the roots of primary or permanent teeth.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    43 views2 pages

    GDC Case Report

    Uploaded by

    Aditi Mishra
    A 13-year-old boy presented with a swelling in his lower left jaw that increased in size after a tooth was extracted. Radiographs and CT scans revealed a hard, radiopaque mass associated with the roots of the extracted tooth. The mass was surgically excised along with the involved tooth. Histopathological examination confirmed the diagnosis of benign cementoblastoma, a rare odontogenic tumor formed of cementum-like tissue that is usually associated with the roots of primary or permanent teeth.

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    Attribution Non-Commercial (BY-NC)
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    Interesting case of Benign Cementoblastoma associated with a deciduous tooth

    Dr. Sonali Kadam*, Dr. Amruta Bandal* *Associate Professor **Post Graduate student
    CASE REPORT: A 13 year old boy was referred to the Government Dental College and Hospital, Mumbai for evaluation and treatment of a swelling in the lower left posterior region which had been present for 2 months. Patient had visited a local dentist for the same complaint 1 month back and reported that a tooth in the region of chief complaint was extracted after which the swelling increased in size and became more painful. There was no history of trauma to the involved area. His medical history was non-contributory. Clinical examination revealed diffuse swelling over left posterior region of mandible extraorally. The swelling was firm, tender and extending in the left submandibular region. Right and left submandibular lymph nodes were palpable and mobile. Intraorally teeth present in the area of chief complaint were permanent canine, second deciduous molar and first permanent molar in the left mandible region. There was a missing tooth between permanent canine and second deciduous molar in the left mandible region. Examination revealed a firm expansion of bone on the buccal side of the mandible in the region of second deciduous molar and swelling of the overlying mucosa (Figure 1).

    Figure 1

    Figure 2

    The second deciduous molar was grade I mobile and first and second premolars were missing clinically. Further, periapical and panoramic radiographic examination revealed a round, radiopaque mass associated with the roots of second deciduous molar, measuring about 2.52.5cm and surrounded by a radiolucent periphery (Figure 2 and Figure 3).

    Figure 3

    Figure 4

    First and second mandibular premolars were impacted. Resorption of roots of the second deciduous molar was seen. Occlusal radiograph revealed buccal cortical expansion caused by the mass (Figure 4). Axial and sagittal computed tomographs revealed a well-defined, oval shaped, hyperdense mass in the left mandibular premolar molar region surrounded by hypodense border (Figure 5a and Figure 5b).

    Figure 5a Figure 5b On the basis of clinical and radiologic features the differential diagnosis of complex composite odontome and benign cementoblastoma was considered. Therefore extraction of the involved tooth along with the mass was performed. The wound was irrigated and closed. There has been no recurrence of the lesion 8 months after the surgical excision. The extirpated mass contained tumour tissue and the involved tooth, second deciduous mandibular molar. Grossly a round to ovoid well-circumscribed mass of hard calcified tissue surrounding the root of affected tooth and measuring 32 cm was seen (Figure 6). The roots of the involved tooth were resorbed. The specimen was submitted for histologic evaluation.

    Figure 6

    Figure 7

    Figure 8

    The histopathologic report was as follows: Haematoxylin and Eosin stained decalcified section shows numerous irregular basophilic cementoid and cementum like tissue. Prominent basophilic reversal lines are seen in the calcified tissue. Few areas show multinucleated giant cells. Interspersed between the masses of calcified tissue, scanty connective tissue stroma is seen. Overall features are suggestive of cementoblastoma. The final diagnosis was benign cementoblastoma (Figure 7 and Figure 8). Final Diagnosis: Benign Cementoblastoma

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