Abstract
The Calcifying Epithelial Odontogenic Tumor (CEOT) also called the Pindborg’s Tumor represents a rare benign epithelial odontogenic neoplasm with locally aggressive behavior. Surgical excision with a safety margin is one of the treatment options, requiring bone and soft tissue reconstruction for implant-supported rehabilitation, providing the individual with a return to adequate oral functions. The objective of the present study is to report on the case of the treatment stages and the factors involved in the rehabilitation of a 23-year-old man with a history of mandibular lesion diagnosed as CEOT. A marginal resection of the mandible lesion was performed, with posterior reconstruction with iliac crest bone graft and soft tissue graft to allow the implant-supported rehabilitation. Currently, in the postoperative control, the individual shows no signs of tumor recurrence and is rehabilitated without functional and/or aesthetic complaints. Surgical excision should be framed as a form of treatment, aiming for better resolution in the more complex cases of these invasive tumors.
Highlights
The Calcifying Epithelial Odontogenic Tumor (CEOT) was first described by Pindborg in 1955
The objective of the present study is to report on the case of the treatment stages and the factors involved in the rehabilitation of a 23-year-old man with a history of mandibular lesion diagnosed as CEOT
CEOT is benign and has slow growth [1] it is a tumor with high growth potential and local tissue invasion which implies in increase of the recurrence rates [7] [10] especially related to more conservative treatments, such as curettage [11] [12]
Summary
The Calcifying Epithelial Odontogenic Tumor (CEOT) was first described by Pindborg in 1955. It is an uncommon Odontogenic lesion and occurs less than 1% of all odontogenic tumors [1] [2]. It is locally aggressive and the surgical ex-. Procedures for treatment that involve enucleation and curettage are an option, but high rates of tumor recurrence are associated with [3] [4]. Enucleation is the treatment of choice, removing the tumor and adjacent bone, teeth and soft tissue, making necessary reconstructive procedures for rehabilitation. In addition to the size and anatomical location of the tumor, factors such as patient’s medical condition, patient’s tolerance to the procedure, surgeon’s skills and experience and histopathological characteristics should be considered in order to establish better treatment plan [3] [4] [5]
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