Treatment options in cementoblastoma

Abstract

Background Cementoblastoma is a benign neoplasia characterized by the formation of cementum-like tissue that connects to the root of a tooth. Various therapeutic approaches have been described in the literature, the most widely used being surgical enucleation of the lesion associated with extraction of the attached tooth. Some authors propose enucleation of the cementoblastoma with attached tooth preservation. Case report This case report describes a 32-year-old Caucasian female with two symmetrical mandibular growths, the largest of which was surgically removed together with the attached tooth, while the other was preserved and steadily monitored. After 15 years of follow-up, no recurrence was observed in the surgical site. The preserved lesion maintained the same dimension and radiographic appearance, although after 3 years the attached tooth required endodontic treatment. With continuous monitoring being the primary prerequisite for this therapeutic choice, preservation of the lesion meant that the patient was able to avoid invasive surgical procedures. Conclusion Our results agree with the theory which describes cementoblastoma as a self-limiting lesion. However, its monitoring is crucial whatever the therapeutic choice might be.