Surgical treatment of cementoblastoma in maxillary associated on dentofacial deformity

Abstract

Cementoblastoma is considered an odontogenic tumor of neoplastic cementoblasts. The lesion was first recognized by Noeberg in 1930 and is considered as the only true neoplasm of cementum origin. Radiographically, a well-delimited radiopaque mass is observed, mainly involving one or more tooth roots of mandible. The treatment is well established in the international literature, and enucleation of the lesion is recommended in association with the extraction of the involved element with the attached calcified mass. We present a case of benign tumor (cementoblastoma) associated with the root apex of the third molar upper right quadrant, involving the maxillary sinus in a patient with class II dentofacial deformity. The treatment chosen was tumor enucleation in association with orthognathic surgery in the same procedure under general anesthesia. International literature is dedicated to discussing this case report. Keywords: Cementoblastoma, Odontogenic tumor, Osteotomy, Le Fort, Paranasal sinuses, Pathology, Oral, Orthognathic surgery