PMID: 11925541Apr 2, 2002Paper

Cementoblastoma: an innocuous neoplasm? A clinicopathologic study of 44 cases and review of the literature with special emphasis on recurrence

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
Robert B BrannonRussell L Corio

Abstract

The clinicopathologic features of 44 cases of cementoblastoma were analyzed and compared with those of 74 cases from the literature with special emphasis on the clinical behavior, treatment, and recurrence rate of these relatively rare benign odontogenic neoplasms. The cases in the current series were accessioned at the Armed Forces Institute of Pathology, Washington, DC. Patient ages at diagnosis ranged from 8 years to 44 years, with a mean age of 20.7 years. The tumors affected 30 males and 14 females. The mandible was the site of occurrence in 31 cases (70.4%), with the mandibular first molar the most common tooth involved. Radiographically, more than 90% of the tumors presented as well-defined radiopaque or mixed-density masses confluent with the tooth root(s) and surrounded by a radiolucent rim. Two lesions were radiolucent. Microscopically, cementoblastomas share similar features with osteoblastomas but are unique because of their physical attachment to the tooth root(s). Follow-up was obtained in 35 of 44 cases, with a mean follow-up interval of 5.5 years. Recurrence was documented in 13 cases (37.1%), in contrast to the literature, where only 2 of 34 cases (5.9%) with adequate follow-up recurred. Jaw expansion and perfo...Continue Reading

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