CLINICAL SYMPTOMATOLOGY, DIAGNOSIS, MORPHOLOGICAL STRUCTURE, AND MANAGEMENT OF CEMENTOMAS

Authors:

Abstract:

Clinicians classify cementoma – a tumor of mesenchymal origin tightly associated with tooth roots – as a variant of odontomas. Conversely, pathomorphologists consider cementomas to be lesions of both neoplastic and dysembryogenetic nature, the common feature of which is the presence of cementum-like tissue in the apical region. We analyzed a clinical case of a mandibular cementoma in the region of tooth 36, detected radiographically in a patient referred by an orthodontist for a consultation regarding the extraction of the follicles of other teeth. The clinical scenario and the definitive diagnosis, given certain discrepancies in the nosological classification of cementomas, prompted us to analyze the literature and summarize our own clinical observations regarding this pathology. The obtained results allowed for the determination of the clinical, diagnostic, and morphological features of specific types of cementomas listed in the WHO International Histological Classification of Tumors, as well as their management strategies. The features distinguishing cementomas from clinically similar pathological processes are presented. Particular attention is paid to condensing osteitis, a variant of chronic apical periodontitis that develops in response to prolonged inflammation.

Keywords:

cementoma odontoma hypercementosis osteosclerosis condensing osteitis

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Publication:

«World of Medicine and Biology» Vol. 22 No. 96 (2026) , с. 281-286
УДК 616.314.16-006.34

DOI:

https://doi.org/10.26724/2079-8334-2026-2-96-281-286