Cementoblastoma Solely Involving Maxillary Primary Teeth- A Rare Presentation

Cementoblastoma is a rare benign neoplasm of odontogenic ectomesenchyme origin, involving the roots of any tooth, which occurs predominantly in second and third decade of life. Very few cases of cementoblastoma associated with a primary tooth or having a maxillary presentation have been reported in the past. Here, a rare case of a ten year old boy who presented to the department with a swelling in maxillary posterior region since one month is being discussed. The radiographic presentation was mimicking an odontoma. The final diagnosis was cementoblastoma. We have advocated the use of polarized microscopy to support the histopathological diagnosis with respect to its cemental origin. Cementoblastoma should be considered in the differential diagnosis of radio-opaque lesions in the transitional dentition.

Cementoblastoma, maxilla, primary dentition

1. Harada H, Omura K, Mogi S, Okada N. Cementoblastoma Arising in the Maxilla of an 8-Year-Old Boy: A Case Report. Int J Dent. doi:10.1155/2011/384578 2011.

2. Ohki K, Kumamoto H, Nitta Y, Nagasaka H, Kawamura H, Ooya K. 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): 53-8, 2004.

3. Sumer M, Gunduz K, Sumer AP, Gunhan O. Benign cementoblastoma: A case report. Med Oral Patol Oral Cir Bucal 11: E483-5, 2006.

4. Souza Laís de Almeida Sena, Cardoso Juliana Andrade, Silva Viviane Palmeira da et al. Cementoblastoma affecting the maxilla of a pediatric patient: A case report. Rev port estomatol med dent cir maxilofac. 54(1): 43–47, 2013

5. Vieira AP, Meneses JM Jr, Maia RL. Cementoblastoma related to a primary tooth: a case report. J Oral Pathol Med 36: 117–9, 2007.

6. K Lemberg, J Hagstro, J Rihtniemi and K Soikkonen. Benign cemento-blastoma in a primary lower molar, a rarity. Dentomaxillofac Radiol. 36: 364–366, 2007.

7. Slootweg PJ. Cementoblastoma and osteoblastoma: a comparison of histologic features. J Oral Pathol Med. 21: 385-9, 1992.

8. Papageorge MB, Cataldo E, Nghiem FT. Cementoblastoma involving multiple deciduous teeth. Oral Surg Oral Med Oral Pathol 63: 602–5, 1987.

9. Woldenberg Y, Nash M, Bodner L. Peripheral osteoma of the maxillofa-cial region. Diagnosis and management: a study of 14 cases. Med Oral Patol Oral Cir Bucal 10(2): E139-42, 2005.

10. Chang CC, Hung HY, Chang JY, Yu CH, Wang YP, Liu BY, Chiang CP. Central Ossifying Fibroma: A Clinicopathologic Study of 28 Cases. J Formos Med Assoc. 107(4): 288-94, 2008.

11. Giansanti JS. The pattern and width of the collagen bundles in bone and cementum. Oral Surg Oral Med Oral Pathol. 30(4): 508-14, 1970.

12. Waldron CA, Giansanti JS. Benign fibro-osseous lesions of the jaws: A clinical- radiologic- histologic review of sixty five cases. Oral Surg Oral Med Oral Pathol. 35(2): 190-201, 1973.

13. Hamner JE, Scofield HH, Cornyn J. Benign fibro-osseous jaw lesions of periodontal membrane origin. An analysis of 249 cases. Cancer. 22(4): 861- 78, 1968.