Conservative Management of Cementoblastoma with Surgical Endodontic Therapy in a Cariously Exposed Mandibular First Molar – A Case Report

Abstract

Aim and Background: A benign neoplasm of ecto-mesenchymal origin, cementoblastoma is typified by the growth of cementum-like tissue that attaches to the tooth root. Numerous treatment modalities have been documented in the literature, with surgical enucleation of the lesion in conjunction with connected tooth extraction being the most frequently employed.

Case Description: This article details the conservative treatment that was administered to a 46-year-old woman who had benign cementoblastoma connected to her mandibular right first molar. The tooth had root canal therapy, and thirty days later, it underwent enucleation, curettage, apicoectomy, and guided tissue regeneration (GTR).

Conclusion: Following 18 months of observation, there were no longer any symptoms or indicators, and tooth 46 was visible on radiography.

Significance: Conservative management of a tooth associated with cementoblastoma may be a plausible alternative to extraction.