Sumer Mahmut, Gunduz Kaan, Sumer A Pinar, Gunhan Omer
Ondokuz Mayis University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Samsun, Turkey.
Med Oral Patol Oral Cir Bucal. 2006 Nov 1;11(6):E483-5.
In the past the benign cementoblastoma was recognized in the World Health Organization's classification of odontogenic tumours as one of the cementoma neoplasias. Recently the benign cementoblastoma is included into Mesenchyme and/or odontogenic ectomesenchyme, with or without odontogenic epithelium odontogenic tumours. Benign cementoblastoma has characteristic radiologic and microscopic features and it appears to be fused to the tooth roots. Symptoms may be totally absent, and when they do occur, pain and swelling are frequent findings. The final diagnosis is usually made histopathologically, but the clinical diagnosis is comparatively easy if it is examined radiographically. The tumour has unlimited growth potential. Most frequently tends to be associated with an erupted permanent tooth, most often the first molar: rarely has an association with an impacted or partial impacted tooth been reported. This case represents a case of benign cementoblastoma associated with a partially impacted mandibular third molar.
过去,在世界卫生组织的牙源性肿瘤分类中,良性成牙骨质细胞瘤被视为牙骨质瘤性肿瘤之一。最近,良性成牙骨质细胞瘤被归入间充质和/或牙源性外间充质,伴或不伴牙源性上皮的牙源性肿瘤。良性成牙骨质细胞瘤具有特征性的影像学和显微镜下特征,且似乎与牙根融合。症状可能完全不存在,若出现症状,疼痛和肿胀较为常见。最终诊断通常通过组织病理学做出,但如果进行影像学检查,临床诊断相对容易。该肿瘤具有无限生长潜能。最常与萌出的恒牙相关,最常见的是第一磨牙;很少有与阻生或部分阻生牙相关的报道。本病例为一例与部分阻生下颌第三磨牙相关的良性成牙骨质细胞瘤。