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An Intraosseous Calcifying Epithelial Odontogenic Tumor in the Anterior Maxilla: A Case Report
Author(s) -
Ortiz Christopher R.,
Wessel Jeffrey R.,
Roman Ivan
Publication year - 2018
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1002/cap.10020
Subject(s) - medicine , maxilla , lesion , premolar , anterior maxilla , mandible (arthropod mouthpart) , coronal plane , odontogenic tumor , pathology , dentistry , molar , radiology , botany , biology , genus
Introduction The calcifying epithelial odontogenic tumor (CEOT), also known as the Pindborg tumor, is a rare benign odontogenic neoplasm that accounts for <1% of all odontogenic tumors. It has a predilection for the mandible, especially the molar‐premolar region, and more commonly presents as an intraosseous tumor. Few cases have been reported of CEOT presenting in the anterior maxilla, and to date, an intraosseous CEOT has not been reported in the anterior maxilla unassociated with an impacted tooth. Case Presentation A 40‐year‐old male presented to the periodontics clinic for evaluation. Clinical exam was unremarkable for swelling, induration, or pulpal pathosis. Upon radiographic examination, a well‐defined radiolucency was observed between the mid‐roots of teeth #9 and #10. A cone‐beam computed tomography scan was taken that identified the coronal and palatal location of the intraosseous lesion. A full thickness flap was reflected on the palate, and osteoplasty was performed using piezoelectric instrumentation to expose the lesion. The lesion was enucleated and submitted for histologic evaluation. The site was grafted with bone allograft and a membrane. Histologic examination identified the lesion as a Pindborg tumor. A surgical revision was subsequently performed to ensure complete removal of the lesion. The site was re‐grafted using a guided tissue regeneration approach. The patient was followed for 11 months without recurrence. Conclusion This case report describes successful management of the first asymptomatic intraosseous CEOT in the anterior maxilla in an adult patient.