Urs Aadithya B, Singh Hanspal, Rawat Garima, Mohanty Sujata, Ghosh Sujoy
J Clin Pediatr Dent. 2016;40(2):147-51. doi: 10.17796/1053-4628-40.2.147.
Cementoblastoma is a rare benign neoplasm of odontogenic ectomesenchyme origin, involving the roots of any tooth, which occurs predominantly in second and third decade of life. Very few cases of cementoblastoma associated with a primary tooth or having a maxillary presentation have been reported in the past. Here, a rare case of a ten year old boy who presented to the department with a swelling in maxillary posterior region since one month is being discussed. The radiographic presentation was mimicking an odontoma. The final diagnosis was cementoblastoma. We have advocated the use of polarized microscopy to support the histopathological diagnosis with respect to its cemental origin. Cementoblastoma should be considered in the differential diagnosis of radio-opaque lesions in the transitional dentition.
成牙骨质细胞瘤是一种罕见的起源于牙源性外胚间叶组织的良性肿瘤,可累及任何牙齿的牙根,主要发生于生命的第二个和第三个十年。过去报道的与乳牙相关或表现为上颌病变的成牙骨质细胞瘤病例非常少。在此,讨论一例罕见病例,一名10岁男孩因上颌后部区域肿胀1个月前来就诊。影像学表现类似牙瘤。最终诊断为成牙骨质细胞瘤。我们主张使用偏振显微镜来支持关于其牙骨质起源的组织病理学诊断。在混合牙列期不透射线病变的鉴别诊断中应考虑成牙骨质细胞瘤。