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Dentomaxillofacial Radiology (2004) 33, 267-270
© 2004 British Institute of Radiology
doi: 10.1259/dmfr/30077628


CASE REPORT

Atypical hypercementosis versus cementoblastoma

L Napier Souza1, S Monteiro Lima Júnior2, FJ Garcia Santos Pimenta2, AC Rodrigues Antunes Souza3 and R Santiago Gomez*,2

1 Department of Dentistry, Universidade Estadual de Montes Claros and Centro Universitário Newton Paiva, Belo Horizonte, Brazil; 2 Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; 3 Private Practice in Orthodontics, Belo Horizonte, Brazil

*Correspondence to: Prof. Ricardo Santiago Gomez, Departamento de Patologia e Cirurgia, Faculdade de Odontologia, Universidade Federal de Minas Gerais, Av. Antonio Carlos, 6627, Belo Horizonte – MG, Brasil CEP 31270901; Email: rsgomez{at}ufmg.br

Received 2 March 2004; revised 8 May 2004; accepted 8 May 2004

Hypercementosis is a non-neoplastic condition in which excessive cementum is deposited in continuation with the normal radicular cementum. Apart from the idiopathic nature of hypercementosis, this condition is associated with several local and systemic factors. Cementoblastoma is an odontogenic tumour characterized by the proliferation of functional cementoblasts that form a large mass of cementum or cementum-like tissue on the tooth root. Although hypercementosis and cementoblastoma are typical conditions with distinct clinical evolution, atypical cases may challenge their diagnosis. Because cementoblastoma is a neoplasm with unlimited growth potential, the usual treatment is complete surgical resection, whilst conservative treatment is recommended for hypercementosis. An atypical case of hypercementosis with similarities to cementoblastoma is reported and its differential diagnosis is discussed.

Keywords: atypical hypercementosis; cementoblastoma; differential diagnosis




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