Skip to main content

Advertisement

SpringerLink
Log in

The Curious Case of a ‘Maverick’ Cementoblastoma!

  • CLINICAL PAPER
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Introduction

The Cementoblastoma is a benign ectomesenchymal odontogenic neoplasm of the jaw, arising from an exuberant production of cemental tissue continuous with the roots of teeth (usually mandibular posteriors), resulting in a calcified mass adherent with the root apices.

Case Presentation

A curious case of a large Cementoblastoma, the size and shape of a ping pong ball, is presented, the first of its kind ever reported to involve the internal / medial / lingual aspect of the mandible, and presenting with unusual and deviant features.

Discussion & Conclusion

The Cementoblastoma is usually associated with certain inherent and pathognomonic features, making it rather straightforward to identify and diagnose. Strikingly uncharacteristic clinical, radiographic and histologic attributes presented in this case, made this ‘out of the ordinary’ and ‘Maverick’-like Cementoblastoma, arduous to diagnose, nevertheless, making it an interesting, informative and curious Case Study. This report has brought to light for the first time, several new facets of the Cementoblastoma.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10

Similar content being viewed by others

References

  1. Dewey KW (1927) Osteoma of a molar. Dental Cosm 69:1143–1149

    Google Scholar 

  2. D’Orto B, Busa A, Scavella G, Moreschi C, Capparè P, Vinci R (2020) Treat options in cementoblastoma. J Osseointegr 12(2):172–176

    Google Scholar 

  3. Ohki K, Kumamoto H, Nitta Y et al (2004) Benign Cementoblastoma involving multiple maxillary teeth: report of a case with a review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97(1):53–58

    Article  PubMed  Google Scholar 

  4. Krausen AS, Pullon PA, Gulmen S, Schenck NL, Ogura JH (1977) Cementomas—aggressive or innocuous Neoplasms? Arch Otolaryngol 103(6):349–354

    Article  CAS  PubMed  Google Scholar 

  5. Mohammadi F, Aminishakib P, Niknami M, Avarzamani AR, Derakhshan S (2018) Benign Cementoblastoma involving deciduous and permanent mandibular molars: a case report. Iran J Med Sci 43(6):664

    PubMed  Google Scholar 

  6. Subramani V, Narasimhan M, Ramalingam S, Anandan S, Ranganathan S (2017) Revisiting Cementoblastoma with a Rare Case Presentation. Case Reports in Pathology 2017:26–28

    Article  Google Scholar 

  7. Huber AR, Folk GS (2009) Cementoblastoma. Head Neck Pathol 3:133–135

    Article  PubMed  Google Scholar 

  8. Karaçal N, Agdoğan Ö, Livaoğlu M, Uraloğlu M, Özel B (2011) Giant Cementoblastoma of the impacted mandibular incisor. J Craniofac Surg 22:26–27

    Article  Google Scholar 

  9. Jones AC, Prihoda TJ, Kacher JE et al (2006) Osteoblastoma of the maxilla and mandible: a report of 24 cases, review of the literature, and discussion of its relationship to osteoid osteoma of the jaws. Oral Surg Oral Med Oral Pathol Radiol 102:639–650

    Article  Google Scholar 

  10. Nagvekar S, Syed S, Spadigam A, Dhupar A (2017) Rare presentation of Cementoblastoma associated with the deciduous maxillary second molar. BMJ Case Rep 2017:23

    Google Scholar 

  11. de Noronha Santos Netto J, Marques AA, Da Costa DO et al (2012) A rare case of Cementoblastoma associated with the primary dentition. Oral Maxillofac Surg 16:399–402

    Article  PubMed  Google Scholar 

  12. Harada H, Omura K, Mogi S et al (2011) Cementoblastoma arising in the maxilla of an 8-yearold boy: a Case report. Int J Dent 5:1–4

    Article  Google Scholar 

  13. Javed A, Hussain Shah SM (2017) Giant Cementoblastoma of left maxilla involving a deciduous molar. J Ayub Medical College, Abbottabad 29:145–146

    Google Scholar 

  14. Neelakandan RS, Deshpande A, Krithika C, Bhargava D (2012) Maxillary Cementoblastoma—a rarity. Oral Maxillofac Surg 16:119–121

    Article  CAS  PubMed  Google Scholar 

  15. Kramer IR, Pindborg JJ, Shear M (1992) The WHO histological typing of odontogenic tumours. a commentary on the second edition. Cancer 70(12):2988–2994

    Article  CAS  PubMed  Google Scholar 

  16. Schafer ET, Singh B, Myers RD (2001) Cementoblastoma associated with a primary tooth: a rare paediatric lesion. Pediatr Dent 23:351–353

    CAS  PubMed  Google Scholar 

  17. El Naggar AK, Grandis JR, Takata T, Slootweg PJ (2018) World Health Organization 4th edition of head and neck tumor classification: insight into the consequential modifications. Virchows Arch 472:311–313

    Article  PubMed  Google Scholar 

  18. Brannon RB, Fowler CB, Carpenter WM et al (2002) Cementoblastoma: an innocuous neoplasm? a clinicopathologic study of 44 cases and review of the literature with special emphasis on recurrence. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93:311–320

    Article  PubMed  Google Scholar 

  19. Infante-Cossio P, Hernandez-Guisado JM, Acosta-Feria M, Carranza-Carranza A (2008) Cementoblastoma involving the maxillary sinus. Br J Oral Maxillofac Surg 46:234–236

    Article  CAS  PubMed  Google Scholar 

  20. Sumer M, Gunduz K, Sumer AP, Gunhan O (2006) Benign cementoblastoma: a case report. Med Oral Patol Oral Cir Bucal 11:483–485

    Google Scholar 

  21. Vieira AP, Meneses JM Jr, Maia RL (2007) Cementoblastoma related to a primary tooth: a case report. J Oral Pathol Med 36:117–119

    Article  PubMed  Google Scholar 

  22. Salmen FS, Oliveira MR, Navarro CM et al (2017) Aggressive osteoblastoma in the maxilla: unusual lesion in the craniofacial skeleton. J Craniofac Surg 28:794–797

    Article  PubMed  Google Scholar 

  23. Wright JM, Vered M (2017) Update from the 4th edition of the world health organization classification of head and neck tumours: odontogenic and maxillofacial bone tumors. Head Neck Pathol 11:68–77

    Article  PubMed  PubMed Central  Google Scholar 

  24. Çalışkan A, Karöz TB, Sumer M, Açıkgöz A, Süllü Y (2016) Benign Cementoblastoma of the anterior mandible: an unusual case report. J Korean Assoc Oral Maxillofac Surg 42:231–235

    Article  PubMed  PubMed Central  Google Scholar 

  25. Feli M, Taheri A, Raeesi P, Mashhadi Abbas F, Alam M (2022) Conservative management of periapical Cementoblastoma: a case report. Iran Endod J 17:151–155

    PubMed  PubMed Central  Google Scholar 

  26. Costa BC, Oliveira De, GJ,Chaves Md, et al (2016) Surgical treatment of cementoblastoma associated with apicoectomy and endodontic therapy: case report. World J Clin Cases 4:290–295

    Article  PubMed  PubMed Central  Google Scholar 

  27. D’Orto B, Busa A, Scavella G, Moreschi C, Capparà P, Vinci R (2020) Treatment options in Cementoblastoma. J Osseointegration 12(2):172–176

    Google Scholar 

Download references

Funding

Nil Received.

Author information

Authors and Affiliations

  1. Commandant Armed Forces Dental Clinic, New Delhi, 110001, India

    Priya Jeyaraj

Authors
  1. Priya Jeyaraj
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

I herewith assure that I conducted and wrote the present paper independently that the study has not been partially or fully submitted as graded academic work and that I have used no other means than the ones indicated. I have indicated all parts of the work in which sources are used according to their wording or to their meaning.

Corresponding author

Correspondence to Priya Jeyaraj.

Ethics declarations

Conflict of interest

We wish to confirm that there are no known conflicts of interest associated with this publication and there has been no significant financial support for this work that could have influenced its outcome.

Ethical Approval

This research was conducted ethically in accordance with the World Medical Association of Helsinki. The ethics review committee of the Command Hospital Eastern Command, Indian Army approved this study on Month 11, 2023. Number: 11123. Date: 03.11.2023.

Informed Consent

Informed written consent was obtained from the Patient, both for undergoing treatment and surgery at this Hospital, as well as for publication of all relevant data and information including patient photographs, for Scientific Research purposes.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jeyaraj, P. The Curious Case of a ‘Maverick’ Cementoblastoma!. J. Maxillofac. Oral Surg. (2024). https://doi.org/10.1007/s12663-024-02181-w

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s12663-024-02181-w

Keywords

Search

Navigation