Case Presentation of Concomitant and Contiguous Adenomatoid Odontogenic Tumor and Focal Cemento-Ossifying Dysplasia
Identifieur interne : 001551 ( Main/Curation ); précédent : 001550; suivant : 001552Case Presentation of Concomitant and Contiguous Adenomatoid Odontogenic Tumor and Focal Cemento-Ossifying Dysplasia
Auteurs : Gita Rezvani [Iran] ; Mandana Donoghue [Inde] ; Peter A. Reichart [Allemagne] ; Neda Pazuhi [Iran]Source :
- The Open Dentistry Journal [ 1874-2106 ] ; 2015.
Abstract
A 24 year-old male was presented for the diagnosis of an asymptomatic bony expansion in relation to the right maxillary canine and first premolar. The unilocular radiolucent lesion with central foci of calcification had caused divergence of canine and first premolar roots without any resorption. This case report details a diagnosis of two distinct disease processes of different cellular origin namely, focal cemento-ossifying dysplasia and adenomatoid odontogenic tumor in a previously unreported concomitant and contiguous relationship. The diagnosis was determined by a combination of clinical, radiographic, histopathological and surgical evidence. This case highlights two points, first the need to examine all mixed radiolucent-radiopaque lesions with advanced imaging techniques to assess the number and extent of the lesions prior to treatment planning. Second a likely role of periodontal ligament as the tissue source for odontogenic epithelial cells and mesenchymal stem cells required for the development of odontogenic tumors and cemento-osseous dysplasias.
Url:
DOI: 10.2174/1874210601509010340
PubMed: 26464605
PubMed Central: 4598389
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Reichart</name><affiliation wicri:level="3"><nlm:aff id="aff3">University Professor emeritus, Charité, Department of Oral Medicine, Dental Radiology and Oral Surgery (Prof A.M. Schmidt- Westhausen) CC3, Assmannshauser str. 4-6, 14197, Berlin, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>University Professor emeritus, Charité, Department of Oral Medicine, Dental Radiology and Oral Surgery (Prof A.M. Schmidt- Westhausen) CC3, Assmannshauser str. 4-6, 14197, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Pazuhi, Neda" sort="Pazuhi, Neda" uniqKey="Pazuhi N" first="Neda" last="Pazuhi">Neda Pazuhi</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Conservative Dentistry, Faculty of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Conservative Dentistry, Faculty of Dentistry, Isfahan University of Medical Sciences, Isfahan</wicri:regionArea><wicri:noRegion>Isfahan</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Open Dentistry Journal</title><idno type="eISSN">1874-2106</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>A 24 year-old male was presented for the diagnosis of an asymptomatic bony expansion in relation to the right maxillary canine and first premolar. The unilocular radiolucent lesion with central foci of calcification had caused divergence of canine and first premolar roots without any resorption. This case report details a diagnosis of two distinct disease processes of different cellular origin namely, focal cemento-ossifying dysplasia and adenomatoid odontogenic tumor in a previously unreported concomitant and contiguous relationship. The diagnosis was determined by a combination of clinical, radiographic, histopathological and surgical evidence. This case highlights two points, first the need to examine all mixed radiolucent-radiopaque lesions with advanced imaging techniques to assess the number and extent of the lesions prior to treatment planning. Second a likely role of periodontal ligament as the tissue source for odontogenic epithelial cells and mesenchymal stem cells required for the development of odontogenic tumors and cemento-osseous dysplasias.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Eversole, L" uniqKey="Eversole L">L. Eversole</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Matos, F R" uniqKey="De Matos F">F.R. de Matos</name></author><author><name sortKey="Nonaka, C F" uniqKey="Nonaka C">C.F. Nonaka</name></author><author><name sortKey="Pinto, L P" uniqKey="Pinto L">L.P. Pinto</name></author><author><name sortKey="De Souza, L B" uniqKey="De Souza L">L.B. de Souza</name></author><author><name sortKey="De Almeida Freitas, R" uniqKey="De Almeida Freitas R">R. de Almeida Freitas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Philipsen, H P" uniqKey="Philipsen H">H.P. 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