Costa BC, de Oliveira GJPL, Chaves MDGAM, da Costa RR, Gabrielli MFR, Guerreiro-Tanomaru JM, Tanomaru-Filho M. Surgical treatment of cementoblastoma associated with apicoectomy and endodontic therapy: Case report. World J Clinical Cases 2016; 4(9): 290-295 [PMID: 27672646 DOI: 10.12998/wjcc.v4.i9.290]
Corresponding Author of This Article
Mário Tanomaru-Filho, DDS, Foar-UNESP, Faculdade de Odontologia de Araraquara, Universidade Estadual Paulista, Rua Humaitá, 1680, Araraquara, SP 14801-903, Brasil. tanomaru@uol.com.br
Research Domain of This Article
Dentistry, Oral Surgery & Medicine
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clinical Cases. Sep 16, 2016; 4(9): 290-295 Published online Sep 16, 2016. doi: 10.12998/wjcc.v4.i9.290
Surgical treatment of cementoblastoma associated with apicoectomy and endodontic therapy: Case report
Bernardo Cesar Costa, Guilherme José Pimentel Lopes de Oliveira, Maria das Graças Afonso Miranda Chaves, Renan Roberto da Costa, Mário Francisco Real Gabrielli, Juliane Maria Guerreiro-Tanomaru, Mário Tanomaru-Filho
Bernardo Cesar Costa, Guilherme José Pimentel Lopes de Oliveira, Maria das Graças Afonso Miranda Chaves, Renan Roberto da Costa, Mário Francisco Real Gabrielli, Juliane Maria Guerreiro-Tanomaru, Mário Tanomaru-Filho, Foar-UNESP, Faculdade de Odontologia de Araraquara, Universidade Estadual Paulista, Araraquara, SP 14801-903, Brasil
Author contributions: Costa BC and da Costa RR performed the treatments and collected the patients’ clinical data; Costa BC, de Oliveira GJPL and Tanomaru-Filho M analyzed the data and wrote the paper; all authors contributed to this paper.
Institutional review board statement: The dental school Araraquara encourages research and this agreement clinical management conducted in this case report.
Informed consent statement: The patient was informed and signed a term of free and informed consent in order to approve the publication of this clinical case.
Conflict-of-interest statement: The authors declare they have no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Mário Tanomaru-Filho, DDS, Foar-UNESP, Faculdade de Odontologia de Araraquara, Universidade Estadual Paulista, Rua Humaitá, 1680, Araraquara, SP 14801-903, Brasil. tanomaru@uol.com.br
Telephone: +55-16-33016390 Fax: +55-16-33016390
Received: April 2, 2016 Peer-review started: April 6, 2016 First decision: May 17, 2016 Revised: June 8, 2016 Accepted: July 11, 2016 Article in press: July 13, 2016 Published online: September 16, 2016 Processing time: 158 Days and 3 Hours
Abstract
This case report describes the surgical removal of cementoblastoma associated with apicoectomy and endodontic therapy. The patient, an 18-year-old man, presented pain in the region of the mandibular body on the right side. On clinical exam, bone expansion was observed in the region at the bottom of the vestibular sulcus, pain on palpation, slight extrusion of tooth 46 with presence of pulp vitality. Radiographic exams demonstrated the presence of a radiopaque area and discrete radiolucent halo associated with the root of tooth 46, suggesting the diagnosis of cementoblastoma. Endodontic treatment of tooth 46 was performed and exeresis of the lesion by apicoectomy. Twelve months after the first surgery, recurrence of the lesion was observed, and a new apicoectomy was necessary, this time up to the middle third of the root. Clinical radiographic control 12 mo after the second surgical intervention demonstrated absence of signs and symptoms, radiographic repair, with tooth 46 shown to be fully functional.
Core tip: The present clinical case demonstrated that surgical treatment associated with endodontic treatment was effective for the treatment of cementoblastoma. However, the patient must be followed-up due to the possibility of recurrence of this lesion. The importance of these findings demonstrated that the treatment of cementoblastoma may be conservative with maintenance of the affected teeth.
