Feli Mojgan, Taheri Anita, Raeesi Pooya, Mashhadi Abbas Fatemeh, Alam Mostafa
Department of Endodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iran Endod J. 2022 Summer;17(3):151-155. doi: 10.22037/iej.v17i3.37470.
As a rare ectomesenchymal neoplasm, benign cementoblastoma comprises less than 6% of all odontogenic tumors. The typical treatment plan involves surgical excision and extraction of the affected tooth. Limited evidence, however, suggests the conservative management of this condition as the best treatment. This article discusses the case of a 32-year-old man who had benign cementoblastoma and underwent conservative treatment. The diagnosis was established based on clinical and radiological features analyses. Root canal therapy was performed on the tooth, followed by enucleation, curettage, apicoectomy, and guided bone regeneration (GBR) 30 days later. After a year of follow-up, there was no recurrence, and the tooth was in healthy conditions. These findings demonstrated that the tooth affected by cementoblastoma can be saved. It was treated conservatively to preserve the patient's oral health and masticatory function.
作为一种罕见的外间充质肿瘤，良性成牙骨质细胞瘤占所有牙源性肿瘤的比例不到6%。典型的治疗方案包括手术切除和拔除患牙。然而，有限的证据表明，对这种疾病采取保守治疗是最佳治疗方法。本文讨论了一名患有良性成牙骨质细胞瘤并接受保守治疗的32岁男性病例。诊断基于临床和影像学特征分析确定。对患牙进行了根管治疗，30天后进行了摘除、刮治、根尖切除术和引导骨再生（GBR）。经过一年的随访，没有复发，患牙状况良好。这些发现表明，受成牙骨质细胞瘤影响的牙齿可以保留。通过保守治疗来维护患者的口腔健康和咀嚼功能。
