An Intraosseous Calcifying Epithelial Odontogenic Tumor in the Anterior Maxilla: A Case Report
Bibliographic record
Abstract
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.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".