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Background: Cemento-osseous dysplasia (COD) is the most common apical radiopaque lesion that develops in the tooth-bearing area. However, large, destructive lesions are rare. Herein, we report a case in which COD extended to bilateral condyles, affecting the entire mandible, and was managed with denosumab rather than surgical resection.

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Cementoblastoma is a benign odontogenic mesenchymal tumor characterized by cementum production. Cementoblastoma is considered a relatively rare neoplasm with a predilection to the posterior region of the mandible. The main clinical differential diagnoses include hypercementosis, cemento-osseous dysplasia, condensing osteitis, idiopathic osteosclerosis, osteoblastoma, odontoma, and osteosarcoma.

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Recurrent Aggressive Cementoblastoma - A Rare Case Report.

J Pharm Bioallied Sci

July 2024

Department of Oral Maxillofacial Surgery, Government Dental College, Trivandrum, Kerala, India.

Cementoblastoma is an odontogenic tumor of benign nature. It is of mesenchymal origin with a relatively low incidence of reappearance. Hereby we present a case report of a 14-year-old male patient with recurrent swelling on the right mandibular posterior region.

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Synchronous cemento-ossifying fibromas: a systematic review.

Med Oral Patol Oral Cir Bucal

September 2024

Universidade Federal do Rio Grande do Sul Faculdade de Odontologia, Rua Ramiro Barcelos, 2492, sala 503 CEP: 90035-003, Santana, Porto Alegre RS, Brazil

Article Synopsis
  • - This systematic review analyzed published data on synchronous cemento-ossifying fibromas (COF), including their demographic and clinical features, utilizing various databases and following PRISMA guidelines.
  • - A total of 19 studies with 20 COF cases were examined, revealing a mean patient age of 35 years, a predominance of female patients (60%), and simultaneous involvement of the mandible and maxilla in 65% of cases.
  • - Management typically involved surgical procedures, with a recurrence rate noted in 15% of cases that had follow-ups, and the findings suggest that synchronous COF is rare, especially affecting women in their 30s.
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Introduction: The Cementoblastoma is a benign ectomesenchymal odontogenic neoplasm of the jaw, arising from an exuberant production of cemental tissue continuous with the roots of teeth (usually mandibular posteriors), resulting in a calcified mass adherent with the root apices.

Case Presentation: A curious case of a large Cementoblastoma, the size and shape of a ping pong ball, is presented, the first of its kind ever reported to involve the internal / medial / lingual aspect of the mandible, and presenting with unusual and deviant features.

Discussion & Conclusion: The Cementoblastoma is usually associated with certain inherent and pathognomonic features, making it rather straightforward to identify and diagnose.

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