Summary
A study was made of a series of 104 cases with cementoma. This investigation of cementoma revealed the following features:
-
1.
In 73% of periapical cemental dysplasia and benign cementoblastoma, and 80% of cementifying fibroma occurred in female.
-
2.
40 % of periapical cemental dysplasia occurred in the fifth decades, and 73 % of benign cementoblastoma during the second and third decades, while there was no age predilection in the cementifying fibroma.
-
3.
63 % of periapical cemental dysplasia occurred in the mandibular anterior region. 91 % of benign cementoblastoma and 80 % of cementifying fibroma occurred in the mandibular premolar and/or molar region.
-
4.
There were no cases complaining of the associated clinical signs and subjective symptoms in the periapical cemental dysplasia, however the patients complained of a pain in 36 % of benign cementoblastoma and 40 % of cementifying fibroma.
-
5.
There were no cases expanding the cortical plates in the periapical cemental dysplasia, however 73 % of benign cementoblastoma and all of the 5 cases of cementifying fibroma showed the expansion of cortical plates.
-
6.
Several radiographic features of the periapical cemental dysplasia were shown as follows:
-
a.
29 % of the cases had multiple lesions.
-
b.
53 % of the cases were in the mature stage.
-
c.
During the osteolytic stage, the alveolar lamina dura was lost in 89 % of the cases.
-
a.
Similar content being viewed by others
References
Batsakis, J. G.:Tumors of the head and neck: clinical and pathological consideration. 2nd ed., pp 543–546, The Williams & Wilkins Co., Baltimore, 1979.
Bernier, T. W.:The management of oral disease. 1st ed., p 558, The C. V. Mosby Co., St. Louis, 1955.
Brophy, T. M.:Oral surgery; a treatise on the disease, injuries, and malformations of the mouth and associated parts. Blaskistons & Sons Co., Philadelphia, 1915.
Goaz, P. W. and White, S. C.:Oral Radiology. 1st ed., pp 495–496, The C. V. Mosby Co., St. Louise, 1982.
Gorlin, R. J. and Goldman, H. M.:Thoma's oral pathology. 6th ed., Vol. 1, pp 503–506, The C. V. Mosby Co., St. Louise, 1970.
Makek, H.:A new approach to differential diagnosis. 1st ed., pp 26–32, The Karger Co., 1983.
Pindborg, J. J.:Pathology of the dental hard tissue. 1st ed., pp. 413–416, The W. B. Saunders Co., Philadelphia, 1970.
Shafer, W. G., Hine, M. K. and Levy, B. M.:A textbook of oral pathology. 4th ed., pp 297–303, The W. B. Saunders Co., Philadelphia, 1983.
Thoma, K. H. and Goldman, H. M.:Oral pathology. 5th ed., pp. 1203–1208, The C. V. Mosby Co., St. Louis, 1960.
Abrams, A. M., Kirby, J. W. and Melrose, R. J.: Cementoblastoma; a clinical-pathologic study of seven new cases.Oral Surg. 38: 394–403, 1974.
Agazzi, C. and Belloni, L.: Gli odontomi duri dei masceliari contributo clinicoröentgenologico e anatomo-microscopico con particolare riguardo alle forme ad ampia estensione e alla comparsa familiare.Arch Ital. Otol. 64 (suppl. 16): 1, 1953. (cited from 17)
Anneroth, G., Isacsson, G. and Sigurdsson, Å.: Benign cementoblastoma (true cementoma).Oral Surg. 40: 141–146, 1975.
Astacio, J. N. and Mendez, J. E.: Benign cementoblastoma (true cementoma).Oral Surg. 38: 95–99, 1974.
Baden, E.: Odontogenic tumor.Pathol. Annu. 6: 541–546, 1971.
Bauer, Wm. H.: Ueber Zementikel und zementikelahnliche Einlangerungen in der Wurzelhaut Vrtljsschr.f. Zahnh. 45: 345–371, 1929 (cited from 16)
Bernier, J. L. and Thompson, H. C.: The histogenesis of the cementoma; report of 15 cases.Am. J. Orthod. (Oral Surg. Sect.) 45: 543, 1946.
Cannon, J. S., Keller, E. E. and Dahlin, D. C.: Gigantiform cementoma; report of two cases (mother and son).J. Oral Surg., 38: 65–70, 1980.
Chaudhry, A. P., Spink, J. H. and Gorlin, R. J.: Periapical fibrous dysplasia (cementoma).J. Oral Surg. 16: 483–488, 1958.
Cherrick, H. M., King, O. H., Lucatorto, F. M. and Suggs, D. M.: Benign cementoblastoma: a clinicopathologic evaluation.Oral Surg. 37: 54–63, 1974.
Corio, R. L., Crawford, B. E. and Schaberg, S. J.: Benign cementoblastoma.Oral Surg. 41: 524–530, 1976.
Dewey, K. W.: Case of genuine cementoma.J. A. D. A. 18: 2052–2063, 1931.
Ennis, L. M. and Berry, H. M.: Ossifying periapical fibroma; roentgenologic studies.J. A. D. A. 37: 642–651, 1948.
Euler, H. and Meyer, W.:Pathohistologie der Zahne (Zemenlikel, p. 251), Munich, 1927. (cited from 22)
Eversole, L. R., Sabes, W. R. and Dauchess, V. G.: Benign cementoblastoma.Oral Surg. 36: 824–840, 1973.
Fontaine, J.: Periapical fibro-osteomas or cementoma.J. Canad. Dent. Assoc. 21: 10–20, 1955.
Gatti, W. M., Mason, J. H. and Kosmala, R. L.: Fibrocementoma of the maxilla.Arch Otolaryngol. 84: 332–336, 1966.
Gorlin, R. J., Chaudhry, A. P. and Pindborg, J. J.: Odontogenic tumors; classification, histopathology, and clinical behavior in man and domesticated animals.Cancer 14: 73–101, 1961.
Hamner, J. E., Scofield, H. H. and Cornyn, J.: Benign fibro-osseous jaw lesions of periodontal membrane origin; an analysis of 249 cases.Cancer 22: 861–878, 1968.
Krausen, A. S., Pullon, P. A., Gulmen, S., Schenck, N. L. and Ogura, J. H.: Cementomas; aggresive or innocuous neoplasms?.Arch Otolaryngol. 103: 349–354, 1977.
Melrose, R. J., Abrams, A. M. and Mills, B.: Florid osseous dysplasia; a clinicalpathologic study of thirty-four cases.Oral Surg. 41: 62–82, 1976.
Norberg, O.: Zur Kenntris der dysontogenetischen Geschwulste der Kieferknochen,Vjschr. Zahnheilhd. 46: 321, 1930. (cited from 19)
Pindborg, J. J., Kramer, I. R. and Torloni, H.:International histological classification of tumours. No. 5. Histological typing of odontogenic tumours, jaw cysts, and allied lesion. World Health Organization, 31–34, Geneva, 1971.
Schmaman, A., Smith, I. and Ackerman, L. A.: Benign fibro-osseous lesions of the mandible and maxilla; a review of 35 cases.Cancer 26: 303–312, 1970.
Shafer, W. G. and Waldron, C. A.:Fibro-osseous lesion of the jaws. American Academy of Oral Pathology Continuing Education Course. Reno, Nevada, May 1982.
Stafne, E. C.: Cementoma; study of 35 cases.Dent. Survey 9: 27–31, 1933.
Stafne, E. C.: Periapical osteofibrosis with formation of cementoma.J. A. D. A. 21: 1882–1889, 1934.
Taylor, N. D., Watkins, J. P. and Bear, S. E.: Recurrent cementifying fibroma of the maxilla; report of case.J. Oral Surg. 35: 204–208, 1977.
Thoma, K. H.: Cementoblastoma.Int. J. Orthod. 23: 1127–1137, 1937.
Thoma, K. H., Cascario, N., Jr. and Bacevicz, F. J.: Cementoma.Am. J. Orthod. (Oral Surg. Sect.) 30: 657–660, 1944.
van der Waals, I. and vander Kwast, W. A.: A case of gigantiform cementoma.Int. J. Oral Surg. 3(6): 440–444, 1974.
Vilasco, J., Mazere, J., Douesnard, J. C. and Loubiere, R.: Un cas de cementoblastome.Rev. Stomatol. (Paris) 70: 329–332, 1969. (cited from 10).
Waldron, C. A., Giansanti, J. S. and Browand, B. C.: Sclerotic cemental masses of the jaws (so-called chronic sclerosing osteomyelitis, sclerosing osteitis, multiple enostosis and gigantiform cementoma).Oral Surg. 39: 590–604, 1975.
Wertheimer, F. W., Driscoll, E. J. and Stanley, H. R.: “True” (attached) cementoma with root canal involvement.Oral Surg. 14: 630–634, 1961.
Winer, H. J., Goepp, R. A. and Olson, R. E.: Gigantiform cementoma resembling Paget's disease; report of case.J. Oral Surg. 30: 517–519, 1972.
Zegarelli, E. V., Kutscher, A. II., Napoli, N., Iurono, F. and Hoffman, P.: The cementoma; a study of 230 patients with cementomas.Oral Surg. 17: 219–224, 1964.
Zegarelli, E. V. and Ziskin, D. E.: Cementomas; a report of 50 cases.Am. J. Orthod. (Oral Surg. Sect.) 29: 285, 1943.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hwang, E.H., Lee, S.R. A clinical and radiographic study of 104 cases with cementoma. Oral Radiol. 3, 19–29 (1987). https://doi.org/10.1007/BF02348541
Issue Date:
DOI: https://doi.org/10.1007/BF02348541