The exact cause of cementomas is still widely unknown. It is understood that cells of the cementum found at the apex of a tooth root in rare cases grow uncontrollably.[1] Cementomas are derived from ectomesenchyme of odontogenic origin.[2][7] Complications of cementogenesis and proliferation of cementoblasts can be implicated; however, cementomas have only been linked to and theorized to be caused by: trauma, reaction to local irritation, infection, endocrine imbalance, cell proliferation and vitamin deficiency.[8]