DOI: 10.36347/sjams.2015.v03i03.054

Pages: 1312-1315

Benign cementoblastomas are developmental odontogenic tumors that arise from ectomesenchyme of dental follicle and represent about 0.69% to 8% of all odontogenic tumors. The Benign cementoblastomas more frequently affects young males in an age range of 20-30 years, occurring in the mandible about 3 times more than in the maxilla, and it is always physically attached to the tooth roots. Cementoblastomas associated with primary teeth are extremely rare lesions, but must always be considered in the differential diagnosis of hard masses in jaws in children to avoid overdiagnosis. Though locally aggressive, the recurrence is found to be rare if it is completely excised and thoroughly curetted. An intraosseous painful swelling was noted upon intraoral examination of an 8 years old boy. The swelling was of 4months duration and slow growing in nature. OPG revealed a radiopaque mass with radiolucent periphery of roots of mandibular right deciduous molars. Differential diagnosis of odontoma, cementoblastoma and osteoma were made. The clinical, radiographic and histopathological features of the excised specimen led to the diagnosis of cementoblastoma. To our knowledge only 9 cases of cementoblastoma associated with primary teeth were reported in literature. Herewith, we are reporting a rare case report of benign cementoblastoma of deciduous mandibular molars.