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Human Tooth Diagram. Cementoma is an odontogenic tumor of cementum.It is usually observed as a benign spherical mass of hard tissue fused to the root of a tooth. [1] It is found most commonly in the mandible in the region of the lower molar teeth, occurring between the ages of 8 and 30 in both sexes with equal frequency . [1]
The three types are periapical cemental dysplasia (common in those of African descent), focal cemento-osseous dysplasia (Caucasians), and florid cemento-osseous dysplasia (African descent). Periapical COD occurs most commonly in the mandibular anterior teeth while focal COD appears predominantly in the mandibular posterior teeth.
Teeth that are affected are primary mandibular molars followed by secondary premolars in the mandible and maxilla, however any teeth may be affected. [6] While no one race is primarily affected, those with conditions that affect bone hormone levels such as Paget's disease and acromegaly are more likely to develop hypercementosis.
Cemental spurs result from irregular deposition of cementum on the root. They can present some clinical problems in differentiation from calculus and may be noted on radiographs; yet, because they are hard dental tissue, they are not easily removed, and thus may also interfere with periodontal treatment. [3]
Cementoblastoma, or benign cementoblastoma, is a relatively rare benign neoplasm of the cementum of the teeth. It is derived from ectomesenchyme of odontogenic origin, with the formation of cementum-like tissue around the associated tooth root. [2] Cementoblastomas represent less than 0.69–8% of all odontogenic tumors. [2]
Dental plaque is a microbial biofilm which forms on teeth. This biofilm may calcify and harden, termed calculus (tartar). Plaque tends to build up around the gingival margin (the gumline) and in gingival crevices or periodontal pocket (below the gumline).