16/11/2025
Patient Name: Mr. Raju Solanki
Age/Sex: 32 years / Male
Tooth Involved: i.r.t. 34, 35
Clinician: Dr. Ujali Shah
Clinic: Navkar Multi-Speciality Dental Clinic
⸻
Chief Complaint:
Patient reported with pain and mild swelling in the lower left posterior region for the past few weeks.
⸻
Clinical Examination:
On intraoral examination, tenderness was noted in relation to teeth 34 and 35 with localized hard swelling. No mobility or pus discharge was observed.
⸻
Radiographic Findings:
Periapical radiograph revealed a well-circumscribed radiopaque lesion surrounded by a thin radiolucent border in relation to 34–35 region, suggestive of a cementoma (early-stage cemento-osseous lesion).
⸻
Provisional Diagnosis:
Early-stage Cementoma (Benign Cemento-Osseous Dysplasia) involving 34–35 region.
⸻
Treatment Plan:
• Excisional removal of the lesion under local anesthesia.
• Specimen sent for histopathological examination to confirm diagnosis.
• Post-operative follow-up and radiographic evaluation.
⸻
Procedure Performed:
Complete excision of the cementoma was carried out successfully. The lesion was removed in toto and sent to the pathology laboratory for further histological evaluation.
⸻
Histopathological Report:
Confirmed complete excision of cementoma with no residual pathology. No evidence of tumor formation or malignancy observed.
⸻
Final Diagnosis:
Early-stage Cementoma (completely excised).
⸻
Outcome:
The patient responded well to treatment with complete resolution of symptoms.
Mr. Raju Solanki expressed gratitude for the early diagnosis and timely intervention, which prevented possible progression into a larger cemental tumor.
