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No malignant form of this conditions exists and rarely will the mass reappear. Individuals can expect full recovery from this condition with the proper treatment and removal of affected area. Although recurrence of cementomas is extremely rare, post-surgical and long-term follow ups are recommended.
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There are currently no preventative measures available for cementomas. Treatment of a cementoma involves surgically removing the mass and possibly a portion of the affected area and/or teeth. Surgical removal without damage to surrounding teeth is limited unless the lesion is small and if there is a
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and upon examination, they found a well-defined radiopaque mass in the apical region of his right deciduous mandibular second molar. The patient presented with swelling and mild pain, but no difficulty with speech, breathing or swallowing. The first lesion was removed, but at age 5.5, post-surgical
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and permanent teeth, impacted molars and premolars. The growth is typically benign and painless. Although symptoms may not be noticeable, a dull pain and dentin hypersensitivity can occur as growth increases. Visibility of the cementoma may increase with growth and cause distortion/swelling to the
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There is a lack of both information and recent research on cementomas. There are multiple individual case studies available on the different types of cementomas, however no clinical trials for treatment of this condition have been executed. A 2018 case report detailed an unusual reoccurrence in a
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Cementoma represent less than one percent of odontogenic tumors. Women and men between their 20s and 30s are most likely to develop a cementoma, with males being slightly more affected than females. Of all cases reported, fifty percent of the patients were under 20 years of age and seventy-five
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or x-ray and appear as an radiopaque mass depending on its stage and mass within the lower dental arch. In early stages, the mass will appear as radiolucent. In terminal stages, the mass becomes radiopaque and a radiolucent rim will be visible. As the lesion enlarges, complexity of diagnosis
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follow-ups revealed a new lesion accompanied by mild swelling. This lesion as well as a lesion that appeared at 8 years of age were determined to be a benign cementoma. Each lesion was removed and the boy showed evidence of no further reoccurrence after three post-surgery follow-ups.
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Cementomas develop as cells that generate cementum, or cementoblasts uncontrollably proliferate at the apex of a tooth root. Cementoblasts that form the cementum typically cease activity and become cementocytes. However, a layer of cementoblasts lies on the outer layer of the
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area near the apex of the affected tooth. The second stage is characterized by active cementoblasts that create radiopaque matter in the center of the lesion. The final stage is characterized by maturation and calcification of the entire lesion in which it is completely
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sufficient crown-to-root ratio. Although benign, a cementoma will continue to grow in size if left untreated. Growth will also greatly affect the function of the teeth. If growth and affected teeth are not completely removed, the risk of reoccurrence increases.
176:, occurring between the ages of 8 and 30 in both sexes with equal frequency . It causes distortion of surrounding areas but is usually a painless growth, at least initially. Considerable thickening of the cementum can often be observed. A
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can be implicated; however, cementomas have only been linked to and theorized to be caused by: trauma, reaction to local irritation, infection, endocrine imbalance, cell proliferation and vitamin deficiency.
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The exact cause of cementomas is still widely unknown. It is understood that cells of the cementum found at the apex of a tooth root in rare cases grow uncontrollably. Cementomas are derived from
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Mellado JM, Mayayo E, Fernández F, Pérez del
Palomar L, Camins A, Saurí A (March 2005). "Cementoma of the fibula: imaging findings with histopathologic correlation and review of the literature".
264:, in which these cells will resume cementogenic activity upon injury to a tooth. Excessive production of cementum will result in destruction of the periodontal ligament and mandible.
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form is also recognized. Cementoma is not exclusive to the mandible as it can infrequently occur in the maxilla and other parts of the body such as the long bones.
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percent were younger than 30 years of age. Occurrence is also seen in both children and older adults. The type of cementoma varies by demographic category.
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Condensing osteitis is a well-defined radiopaque lesion usually surrounding the apex of a necrotic tooth and does not have a radiolucent rim.
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face and surrounding areas along with tooth displacement. Histological analyses reveal several sheets of cementum that show evidence of both
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Researchers of a 2017 and 2018 case study, have determined pathogenesis to occurs in three stages. The first stage involves periapical
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Subramani, Vijayanirmala; Narasimhan, Malathi; Ramalingam, Suganya; Anandan, Soumya; Ranganathan, Subhashini (2017-02-26).
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Mohammadi, Farnoosh; Aminishakib, Pouyan; Niknami, Mahdi; Razi
Avarzamani, Abolfazl; Derakhshan, Samira (November 2018).
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Cementomas reveal a more uniform radiolucent band surrounding the lesion than the bands found in cement dysplasia.
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Periapical cemental dysplasia is usually found in the lower anterior teeth and does not cause shifting of teeth.
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769:"Bone Morphogenetic Protein-2 Inhibits Differentiation and Mineralization of Cementoblasts in vitro"
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4.5-year-old boy. The young child was referred to the Oral and
Maxillofacial Surgery Department of
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spherical mass of hard tissue fused to the root of a tooth. It is found most commonly in the
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518:"Benign Cementoblastoma Involving Deciduous and Permanent Mandibular Molars: A Case Report"
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Hypercementosis present with small lesions and are not accompanied by pain or jaw swelling.
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The following complications may occur as a result of growth and expansion in the cementum:
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which is characterized by a noncalcified matrix and formation of a circular
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Cementoma is characterized by a significant amount of thickening of the
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Journal of the Korean
Association of Oral and Maxillofacial Surgeons
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around the roots of the teeth. The main teeth involved can include
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increases and the mass must be analyzed for characteristics of an
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691:"Revisiting Cementoblastoma with a Rare Case Presentation"
305:. Misdiagnosis can result in an unnecessary root canal.
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Zhao, M.; Berry, J. E.; Somerman, M. J. (2003-01-01).
659:"Benign Cementoblastoma | Mouth Cancer | Oral Cancer"
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573:"About Cementoblastoma: Development & Treatment"
441:. Lippincott Williams & Wilkins. pp. 222–.
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106:Learn how and when to remove this message
380:Four types of cementomas are described:
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369:Tehran University of Medical Sciences
280:and surrounded by a radiolucent rim.
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741:"Cementoma: Disease Bioinformatics"
522:Iranian Journal of Medical Sciences
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438:Head and Neck Surgical Pathology
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1029:Keratocystic odontogenic tumour
31:needs additional citations for
164:. It is usually observed as a
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1024:Adenomatoid odontogenic tumor
391:Periapical cemental dysplasia
832:10.5125/jkaoms.2016.42.4.231
172:in the region of the lower
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785:10.1177/154405910308200106
773:Journal of Dental Research
395:Multiple apical cementomas
301:, cemental dysplasia, and
695:Case Reports in Pathology
619:10.1007/s12105-008-0099-5
476:10.1007/s00256-004-0822-6
242:origin. Complications of
607:Head and Neck Pathology
309:Differential diagnosis
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435:Ben Z. Pilch (2001).
411:Gigantiform cementoma
399:Gigantiform cementoma
320:Odontomas have mixed
246:and proliferation of
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708:10.1155/2017/8248691
335:Prevention/Treatment
262:periodontal ligament
184:Signs & Symptoms
40:improve this article
362:Research Directions
303:condensing osteitis
146:Human Tooth Diagram
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663:www.knowcancer.com
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603:"Cementoblastoma"
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353:Epidemiology
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224:Malocclusion
220:Nerve damage
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203:cementoclast
199:cementoblast
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96:October 2018
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38:Please help
33:verification
30:
273:radiolucent
240:odontogenic
174:molar teeth
155:odontogenic
55:"Cementoma"
981:Ameloblast
750:2020-12-10
668:2020-12-06
582:2020-12-08
417:References
290:radiograph
278:radiopaque
269:osteolysis
205:activity.
178:periapical
66:newspapers
1000:hamartoma
971:Cementoma
902:SNOMED CT
627:1936-055X
534:0253-0716
344:Prognosis
284:Diagnosis
194:deciduous
151:Cementoma
135:Dentistry
130:Specialty
124:Cementoma
1044:Category
1008:Odontoma
907:37258009
886:: 9272/0
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793:12508040
727:28337352
645:19644548
552:30510344
492:24021110
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405:See also
295:odontoma
217:Bleeding
190:cementum
170:mandible
162:cementum
896:D002485
841:5009199
718:5346397
701:: 1–3.
636:2715464
543:6230933
384:Benign
80:scholar
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153:is an
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797:S2CID
488:S2CID
376:Types
158:tumor
87:JSTOR
73:books
891:MeSH
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789:PMID
723:PMID
699:2017
641:PMID
623:ISSN
548:PMID
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480:PMID
443:ISBN
201:and
59:news
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