Exérese de cementoblastoma benigno em região de sínfise mentoniana – relato de caso

Cementoma or cementoblastoma is a rare occurrence lesion, which can occur both in the mandible and in the maxilla. It affects children and young adults, with the area most affected by the premolars and molars. The diagnosis is differentiated with osteoblastoma, odontoma, condensing osteitis, cement-ossolifying fibroma, periapical cement dysplasia and hypercementosis. The histopathological aspect is of a mineralized mass similar to the cementum associated with a fibrovascularized stroma, interposed by cementoblasts. This article aimed to report a clinical case of symptomatic and infected benign cementoblastoma, located in the region of the mandibular symphysis in a 65-year-old female patient, whose treatment underwent excision under local anesthesia, with healing promoted by second intention due to the infectious process installed The treatment undertaken culminated in the cure of the pathological process.

Implant Treatment for a Patient With Large Condensing Osteitis: Case Report

Chronic endodontic infections are associated with osseous changes in the peri-apical regions. Dental implants are often placed after the extraction of hopeless teeth with periapical infections. This clinical report describes a patient with a radiopaque mass attached to the root apex of the mandibular right second premolar tooth (No. 45). The differential diagnoses of the radiopaque mass were bone- and tissue-borne diseases. Based on the clinical and radiologic findings (bone density and trabeculation of the bone), the definitive diagnosis of the osseous mass was condensing osteitis. The osseous tumor associated with tooth 45 was atraumatically extracted under local anesthesia. Guided bone regeneration was performed immediately after extraction of tooth 45, and a dental implant was placed in the site after 6 months of healing.

Radiopacities of the Jaws: Interpretation and Diagnosis

General dental practitioners are less confident at diagnosing radiopaque lesions of the jaws than radiolucent ones, possibly because the incidence of jaw radiopacities is comparatively low. The current review covers the majority of radiopaque lesions that are referred for a specialist opinion, and focuses on those lesions that occur commonly or those that mimic other diagnoses. The majority of radiopaque jaw lesions represent normal anatomy/normal variants or superimposed soft tissue calcifications that are typically of no clinical significance. Common pathological radiopacities of the jaws include sclerosing (condensing) osteitis, a response to low-grade chronic apical infection, and odontomes, a form of odontogenic hamartoma. The typical imaging appearances of these and other jaw radiopacities are discussed.