Cae Study #10

By: Sarah Neel

Joy Warwick
Denise Wold
Based on the clinical and radiographic information presented, the
patient most likely has a Cementoblastoma.
These most likely occur in male patients under the age of 25 and our
patient is a 22 year old male. The radiograph of the patients
mandibular first molar showed a well defined, round radiopacity
surrounded by a radiolucent rim and obliteration of the distal root of
the mandibular first molar. Key characteristics of a Cementoblastoma
are that they involve mandibular molars and radiograhically show a
well defined radiopaque mass, with a radiolucent line, which overlies
and obliterates the tooth root, just like our patients radiograph showed.

By: Sarah Neel

Joy Warwick
Denise Wold
Complex Odontoma:
The patient doesnt have a complex odontoma because it most
commonly occurs in
children and our patient is 22. The most common clinical manifestation
of a complex odontoma is failure of the permanent tooth to erupt and
our patient has his permanent molars.
Periapical Cemental Dysplasia:
The patient doesnt have a periapical cemental dysplasia because they
most commonly occur in women and normally involve several
mandibular anterior teeth with several lesions at the apex and our
patient has a problem with a mandibular molar.
Osteoblastoma:
The patient doesnt have an osteoblastoma because most commonly
radiographicaly its shown as loose radiopaque bodies in the tmj area
and degenerative changes in the articular surfaces. Our patient
showed obliterated roots of the affected tooth.
Focal Sclerosing Osteopmyelitis:
The patient doesnt have focial sclerosing osteomyelitis because this
occurs from a reaction to a low grade infection which our patient didnt
report having. It does state that radiographiclaly a radiopaque area is
shown below the tooth roots, but doesnt mention obliteration of tooth
roots.

References

Isben, Olga. Oral Pathology for the Dental Hygienist. New York, New
York: Saunders,
2008. Print.
Leena S Sankari and K Ramakrishnan, Benign cementoblastoma,
Journal of Oral and
Maxillofacial Pathology, 2011 Sep-Dec; 15(3): 358-360. Web.