Cementoma: Difference between revisions

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'''Cementoma''' is a type of [[dental tumor]] that primarily affects the roots of [[teeth]]. It is also known as cementoblastoma and true cementoma. This benign [[neoplasm]] is characterized by the overgrowth of cementum, a calcified substance that covers the root of a tooth.
{{short description|A benign odontogenic tumor}}
{{Use dmy dates|date=October 2023}}


==Overview==
== Cementoma ==
Cementomas are rare, accounting for less than 1% of all odontogenic tumors. They are most commonly found in the mandible, particularly in the area of the first molar. The tumor typically affects adults in their third to fifth decades of life, with a slight predilection for females.


==Symptoms==
[[File:Human tooth diagram-en.svg|thumb|right|Diagram of a human tooth showing the location of cementum.]]
The symptoms of cementoma can vary, but often include pain and swelling in the affected area. Some patients may also experience loosening of the affected tooth or teeth. In some cases, the tumor may be discovered incidentally during a routine dental examination or x-ray.


==Diagnosis==
A '''cementoma''' is a type of [[benign tumor]] that originates from the [[cementum]], a calcified tissue covering the roots of [[teeth]]. Cementomas are classified as [[odontogenic tumors]], which means they are related to the formation and development of teeth. These tumors are generally non-cancerous and are often discovered incidentally during routine dental [[radiography]].
The diagnosis of cementoma is typically made through a combination of clinical examination and imaging studies. On a dental x-ray, the tumor appears as a radiopaque mass attached to the root of a tooth. The definitive diagnosis is made through histopathological examination of the tumor tissue, which shows the presence of cementum-like material.


==Treatment==
== Classification ==
The treatment for cementoma typically involves surgical removal of the tumor and the affected tooth or teeth. In some cases, root canal therapy may be performed prior to surgery to preserve the tooth. Following surgery, regular follow-up is necessary to monitor for any signs of recurrence.
Cementomas are part of a group of lesions known as [[cemento-osseous dysplasia]]. They are further classified into three main types:


==Prognosis==
* '''Periapical cemental dysplasia''': This type typically occurs in the anterior [[mandible]] and is more common in middle-aged [[African American]] women. It is often asymptomatic and discovered on routine dental X-rays.
The prognosis for patients with cementoma is generally good, as the tumor is benign and does not spread to other parts of the body. However, recurrence is possible, particularly if the tumor is not completely removed during surgery.


* '''Florid cemento-osseous dysplasia''': This type affects multiple quadrants of the jaw and can be more extensive. It is also more common in middle-aged women of African descent.
* '''Cementoblastoma''': This is a true neoplasm of cementum and is characterized by the formation of a mass of cementum attached to the root of a tooth. It can cause pain and swelling.
== Clinical Features ==
Cementomas are usually asymptomatic and are often found during routine dental examinations. However, in some cases, they may cause symptoms such as:
* [[Toothache]]
* Swelling of the jaw
* Displacement of teeth
== Diagnosis ==
The diagnosis of cementoma is primarily based on [[radiographic]] findings. On X-rays, cementomas appear as well-defined radiopaque masses that are often surrounded by a radiolucent halo. The appearance can vary depending on the stage of the lesion.
== Treatment ==
In most cases, cementomas do not require treatment unless they cause symptoms or complications. When intervention is necessary, treatment options may include:
* Surgical removal of the lesion
* Endodontic treatment if the associated tooth is affected
== Prognosis ==
The prognosis for individuals with cementoma is generally excellent, as these lesions are benign and do not transform into [[malignant]] tumors. Regular dental check-ups are recommended to monitor the condition.
== Related pages ==
* [[Odontogenic tumor]]
* [[Cemento-osseous dysplasia]]
* [[Cementum]]
* [[Radiography]]
[[Category:Odontogenic tumors]]
[[Category:Dental disorders]]
[[Category:Dental disorders]]
[[Category:Oral pathology]]
[[Category:Benign neoplasms]]
{{medicine-stub}}

Revision as of 11:48, 15 February 2025

A benign odontogenic tumor



Cementoma

Diagram of a human tooth showing the location of cementum.

A cementoma is a type of benign tumor that originates from the cementum, a calcified tissue covering the roots of teeth. Cementomas are classified as odontogenic tumors, which means they are related to the formation and development of teeth. These tumors are generally non-cancerous and are often discovered incidentally during routine dental radiography.

Classification

Cementomas are part of a group of lesions known as cemento-osseous dysplasia. They are further classified into three main types:

  • Periapical cemental dysplasia: This type typically occurs in the anterior mandible and is more common in middle-aged African American women. It is often asymptomatic and discovered on routine dental X-rays.
  • Florid cemento-osseous dysplasia: This type affects multiple quadrants of the jaw and can be more extensive. It is also more common in middle-aged women of African descent.
  • Cementoblastoma: This is a true neoplasm of cementum and is characterized by the formation of a mass of cementum attached to the root of a tooth. It can cause pain and swelling.

Clinical Features

Cementomas are usually asymptomatic and are often found during routine dental examinations. However, in some cases, they may cause symptoms such as:

  • Toothache
  • Swelling of the jaw
  • Displacement of teeth

Diagnosis

The diagnosis of cementoma is primarily based on radiographic findings. On X-rays, cementomas appear as well-defined radiopaque masses that are often surrounded by a radiolucent halo. The appearance can vary depending on the stage of the lesion.

Treatment

In most cases, cementomas do not require treatment unless they cause symptoms or complications. When intervention is necessary, treatment options may include:

  • Surgical removal of the lesion
  • Endodontic treatment if the associated tooth is affected

Prognosis

The prognosis for individuals with cementoma is generally excellent, as these lesions are benign and do not transform into malignant tumors. Regular dental check-ups are recommended to monitor the condition.

Related pages