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The Importance of the Three-Dimensional Image in the Early Diagnosis of Cementoblastoma

The Importance of the Three-Dimensional Image in the Early Diagnosis of Cementoblastoma

作     者:Tania Mara Pimenta Amaral Claudia Silami de Magalhaes Allyson Nogueira Ricardo Alves Mesquita Joao Batista de Freitas Maria Cassia Ferreira Aguiar 

作者机构:Department of Oral Pathology and Surgery School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte Brazil Department of Restorative Dentistry School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte Brazil 

出 版 物:《Open Journal of Radiology》 (放射学期刊(英文))

年 卷 期:2012年第2卷第1期

页      面:10-13页

学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主  题:Cementoblastoma Cone Beam CT Dental Radiography 

摘      要:The cementoblastoma is a very rare odontogenic neoplasm characterised by the formation of cementum-like tissue in connection with the root of a tooth. An 18-year-old boy was referred to the Clinic of Oral Pathology of the School of Dentistry, Universidade Federal de Minas Gerais, Brazil, complaining of an irradiating, itching pain from the region of the lower right first molar. He reported that the symptoms began three months prior, with a gradual increase in intensity during this period. The pain episodes were of short duration, with characteristics of toothache originating from the pulp. Upon intra-oral clinical examination, an open bite and slight increase in volume at the buccal alveolar region of the lower right first molar was observed. He also reported palpation and percussion pain symptoms in this region. Electrical, heat and cold pulp vitality tests were performed, and the tooth was vital. Periapical and panoramic radiographs showed radiolucent images with diffuse, poorly defined borders at the mesial root periapex extending to the interradicular region suggesting an inflammatory periapical lesion. In this early presentation, the three-dimensional image was fundamental to the final diagnosis of cementoblastoma.

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