Goerig A C, Fay J T, King E
Oral Surg Oral Med Oral Pathol. 1984 Aug;58(2):133-6. doi: 10.1016/0030-4220(84)90125-7.
The benign cementoblastoma (true cementoma, osteoblastoma, giant osteoid osteoma) appears to be a true neoplasm of functional cementoblasts which proliferate at the apex of teeth to form an expansile tumor. It remains intimately attached to the tooth roots and occasionally involves the root canals themselves. Although the pulpal tissue remains vital, treatment has historically consisted of extraction of the involved tooth along with extirpation of the tumor. This mode of therapy for the benign cementoblastoma should not be confused with the entity called periapical cemental dysplasia (that is cementoma, periapical osteofibroma or osteofibrosis, cementifying fibroma, localized fibro-osteoma, and periapical fibrous dysplasia). In this latter lesion the treatment consists of simply recognizing the condition and establishing a schedule for periodic evaluation of the patient. In the case presented here enucleation of the cementoblastoma and endodontic therapy were selected as treatment modalities, despite the presence of buccal and lingual expansion of the cortical plates. There has been no recurrence of this growth during the 4-year follow-up period.
良性成牙骨质细胞瘤（真性牙骨质瘤、成骨细胞瘤、巨大骨样骨瘤）似乎是功能性成牙骨质细胞的一种真性肿瘤，这些细胞在牙根尖部增殖形成膨胀性肿瘤。它与牙根紧密相连，偶尔也会累及根管本身。尽管牙髓组织保持活力，但以往的治疗方法是拔除患牙并切除肿瘤。良性成牙骨质细胞瘤的这种治疗方式不应与根尖周牙骨质发育异常（即牙骨质瘤、根尖周骨纤维瘤或骨纤维变性、牙骨质化纤维瘤、局限性纤维骨瘤和根尖周纤维性发育异常）相混淆。在后一种病变中，治疗仅包括识别病情并为患者制定定期评估计划。在本文所述病例中，尽管存在皮质板的颊侧和舌侧膨隆，但仍选择成牙骨质细胞瘤摘除术和牙髓治疗作为治疗方式。在4年的随访期内，该肿物未复发。
