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Fomenko IV, Kasatkina AL, Filimonova EV, Mel'nikova DV. [Comprehensive treatment of a child with an extensive composite odontoma]. STOMATOLOGII︠A︡ 2020; 99:67-70. [PMID: 32692523 DOI: 10.17116/stomat20209904167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Odontoma make up about 22% of all odontogenic tumors. Diagnosis and treatment of odontoma in children has a number of features: the variability of the clinical and X-ray picture, the appearance of signs during the period of changing teeth, retention or the difficulty of the eruption of complete teeth in the affected area. In the process of growth odontoma can cause significant deformation of the jaw bones. The delay of the change of deciduous teeth can also be regarded as a risk factor for the formation of deviations from the normal formation of the dental system in children. This article analyzes the symptoms, clinical picture and complex treatment of a 13-year-old patient with this pathology. A clinical case demonstrates the need for regular check-ups at a pediatric dentist, an x-ray examination of the jaws in order to timely detect abnormalities in the development of the dentition of the child, diagnosis and treatment of malformations and tumors in children.
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Affiliation(s)
- I V Fomenko
- Volgograd State Medical University, Volgograd, Russia
| | - A L Kasatkina
- Volgograd State Medical University, Volgograd, Russia
| | - E V Filimonova
- FSBI Polyclinic No. 1 of the Office of the President of the Russian Federation, Moscow, Russia
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Park JC, Yang JH, Jo SY, Kim BC, Lee J, Lee W. Giant complex odontoma in the posterior mandible: A case report and literature review. Imaging Sci Dent 2018; 48:289-293. [PMID: 30607354 PMCID: PMC6305773 DOI: 10.5624/isd.2018.48.4.289] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2018] [Revised: 10/25/2018] [Accepted: 10/30/2018] [Indexed: 12/02/2022] Open
Abstract
Odontomas are considered a type of odontogenic hamartoma, and are generally reported not to exceed 3 cm in diameter. Some authors have referred to odontomas with a diameter exceeding 3 cm as giant odontomas. As hamartomas, giant odontomas generally show no signs or symptoms, but if they perforate the mucosa to become exposed in the oral cavity, oral and maxillofacial infections can result. Surgical removal and a histopathological examination may also be required to differentiate them from osteomas, cemento-osseous dysplasia, or mixed odontogenic tumors. This report presents the case of a 28-year-old woman with a giant odontoma in the right mandibular third molar area. Based on a review of the literature published since 2010, only 11 cases of “giant” or “large” odontomas have been reported, most of which were of the complex odontoma type. It was confirmed that they tend to occur in the right posterior mandible.
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Affiliation(s)
- Jong Chan Park
- Department of Oral and Maxillofacial Surgery, School of Dentistry, College of Dentistry, Wonkwang University, Iksan, Korea
| | - Ji Ho Yang
- Department of Oral and Maxillofacial Surgery, School of Dentistry, College of Dentistry, Wonkwang University, Iksan, Korea
| | - Sung Youn Jo
- Department of Oral and Maxillofacial Surgery, School of Dentistry, College of Dentistry, Wonkwang University, Iksan, Korea
| | - Bong Chul Kim
- Department of Oral and Maxillofacial Surgery, School of Dentistry, College of Dentistry, Wonkwang University, Iksan, Korea
| | - Jun Lee
- Department of Oral and Maxillofacial Surgery, School of Dentistry, College of Dentistry, Wonkwang University, Iksan, Korea
| | - Wan Lee
- Department of Oral and Maxillofacial Radiology, College of Dentistry, Wonkwang University, Iksan, Korea
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Dehis HM, Fayed MS. Management of Maxillary Impacted Teeth and Complex Odontome: A Review of Literature and Case Report. Open Access Maced J Med Sci 2018; 6:1882-1887. [PMID: 30455768 PMCID: PMC6236032 DOI: 10.3889/oamjms.2018.395] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2018] [Revised: 09/07/2018] [Accepted: 09/09/2018] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Teeth impaction has become a common problem faced by orthodontic clinicians with the greatest incidence reported among third molars and maxillary canines. The great challenge lies in successfully treating these cases without deleteriously affecting the impacted as well as adjacent teeth while achieving acceptable functional and esthetic results. Several etiological factors have been associated with impactions including the presence of an odontome which is an asymptomatic odontogenic hamartomatous lesion. CASE REPORT This article presents a detailed orthodontic assessment and treatment of a 16 years old female having impacted right maxillary lateral incisor and canine caused by complex odontome. CONCLUSION Successful orthodontic treatment of multiple impactions can be achieved with minimal side effects even when odontomes are associated, through 3D radiographic examination, detailed evaluation as well as proper biomechanical control.
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Affiliation(s)
- Heba M Dehis
- Department of Orthodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt
| | - Mona S Fayed
- Department of Orthodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt
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Mortazavi H, Baharvand M. Jaw lesions associated with impacted tooth: A radiographic diagnostic guide. Imaging Sci Dent 2016; 46:147-57. [PMID: 27672610 PMCID: PMC5035719 DOI: 10.5624/isd.2016.46.3.147] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2016] [Revised: 06/05/2016] [Accepted: 06/06/2016] [Indexed: 11/28/2022] Open
Abstract
This review article aimed to introduce a category of jaw lesions associated with impacted tooth. General search engines and specialized databases such as Google Scholar, PubMed, PubMed Central, MedLine Plus, Science Direct, Scopus, and well-recognized textbooks were used to find relevant studies using keywords such as "jaw lesion", "jaw disease", "impacted tooth", and "unerupted tooth". More than 250 articles were found, of which approximately 80 were broadly relevant to the topic. We ultimately included 47 articles that were closely related to the topic of interest. When the relevant data were compiled, the following 10 lesions were identified as having a relationship with impacted tooth: dentigerous cysts, calcifying odontogenic cysts, unicystic (mural) ameloblastomas, ameloblastomas, ameloblastic fibromas, adenomatoid odontogenic tumors, keratocystic odontogenic tumors, calcifying epithelial odontogenic tumors, ameloblastic fibro-odontomas, and odontomas. When clinicians encounter a lesion associated with an impacted tooth, they should first consider these entities in the differential diagnosis. This will help dental practitioners make more accurate diagnoses and develop better treatment plans based on patients' radiographs.
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Affiliation(s)
- Hamed Mortazavi
- Department of Oral Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Maryam Baharvand
- Department of Oral Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Abstract
Odontomas represent the most common type of odontogenic benign jaws tumors among patients younger than 20 years of age. These tumors are composed of enamel, dentine, cementum, and pulp tissue. According to the World Health Organization classification, two distinct types of odontomas are acknowledged: complex and compound odontoma. In complex odontomas, all dental tissues are formed, but appeared without an organized structure. In compound odontomas, all dental tissues are arranged in numerous tooth-like structures known as denticles. Compound odontomas are often associated with impacted adjacent permanent teeth and their surgical removal represents the best therapeutic option. A case of a 20-year-old male patient with a compound odontoma-associated of impacted maxillary canine is presented. A minimally invasive surgical technique is adopted to remove the least amount of bone tissue as far as possible.
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Machado CDV, Knop LAH, da Rocha MCBS, Telles PDDS. Impacted permanent incisors associated with compound odontoma. BMJ Case Rep 2015; 2015:bcr-2014-208201. [PMID: 25583937 DOI: 10.1136/bcr-2014-208201] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
Abstract
Odontomas are the most common odontogenic tumours of the maxillary bones, characterised by a slow growth and benign behaviour. They are usually small, asymptomatic and diagnosed after routine radiographic examination. The aim of this study was to report a case of a compound odontoma in the anterior maxilla of a 7-year-old girl, which was causing the impaction of the maxillary right central and lateral incisors, as well as the prolonged retention of the corresponding primary teeth. We also aimed to review the literature about these tumours, since they are not part of the dentist's day-to-day clinical practice. The clinical and radiographic features, the diagnosis and treatment of the case were discussed in this work.
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Affiliation(s)
| | - Luégya Amorin Henriques Knop
- Department of Orthodontics and Pediatric Clinic, School of Dentistry, São Paulo State University-UNESP, Araraquara, São Paulo, Brazil
| | | | - Paloma Dias da Silva Telles
- Department of Social and Pediatric Dentistry, School of Dentistry, Federal University of Bahia-UFBA, Salvador, Bahia, Brazil
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Bhargavan Sarojini S, Khosla E, Varghese T, Johnson Arakkal L. Eruption of odontomas into the oral cavity: a report of 2 cases. Case Rep Dent 2014; 2014:639173. [PMID: 24900927 PMCID: PMC4037568 DOI: 10.1155/2014/639173] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2014] [Revised: 03/22/2014] [Accepted: 04/24/2014] [Indexed: 11/18/2022] Open
Abstract
Odontomas are the commonest odontogenic tumors of the oral cavity and are by nature asymptomatic. They consist mainly of dental tissue that may or may not be arranged in an orderly fashion. Their presence is often detected accidentally or due to the presence of a dental disturbance such as an unerupted tooth. The very rarity of odontomas erupting into the oral cavity validates the need for more current literature on the phenomenon. Our report of two cases aims to present and discuss the rare event of an erupting odontoma with the dental community.
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Affiliation(s)
- Sreenivasan Bhargavan Sarojini
- Department of Oral Pathology and Microbiology, Mar Baselios Dental College, Thankalam, Kothamagalam, Ernakulam, Kerala 686691, India
| | - Ektah Khosla
- Department of Pedodontics, Mar Baselios Dental College, Thankalam, Kothamagalam, Ernakulam, Kerala 686691, India
| | - Thomas Varghese
- Department of Oral Medicine and Radiology, Mar Baselios Dental College, Thankalam, Kothamagalam, Ernakulam, Kerala 686691, India
| | - Leena Johnson Arakkal
- Department of Oral Medicine and Radiology, Mar Baselios Dental College, Thankalam, Kothamagalam, Ernakulam, Kerala 686691, India
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Astekar M, Manjunatha BS, Kaur P, Singh J. Histopathological insight of complex odontoma associated with a dentigerous cyst. BMJ Case Rep 2014; 2014:bcr-2013-200316. [PMID: 24488658 DOI: 10.1136/bcr-2013-200316] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Odontomas and dentigerous cysts are common findings for practicing dental professionals. However, simultaneous occurrence of pathologies like odontoma and dentigerous cyst are uncommon and their diagnosis based on the radiographic appearance alone is a challenge to overcome. They together are a potential for complications like attaining large size, root resorption, destruction of the jaw bones and sometimes neoplastic changes like ameloblastoma. This paper presents a case of complex odontoma associated with dentigerous cyst in relation to a retained deciduous tooth in the maxillary anterior region and confirming its diagnosis histopathologically.
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Affiliation(s)
- Madhusudan Astekar
- Department of Oral Pathology, Pacific Dental College & Hospital, Udaipur, Rajasthan, India
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Astekar M, Manjunatha BS, Kaur P, Singh J. Histopathological insight of complex odontoma associated with a dentigerous cyst. BMJ Case Rep 2014. [PMID: 24488658 DOI: 10.1136/bcr-2013-200316.] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Odontomas and dentigerous cysts are common findings for practicing dental professionals. However, simultaneous occurrence of pathologies like odontoma and dentigerous cyst are uncommon and their diagnosis based on the radiographic appearance alone is a challenge to overcome. They together are a potential for complications like attaining large size, root resorption, destruction of the jaw bones and sometimes neoplastic changes like ameloblastoma. This paper presents a case of complex odontoma associated with dentigerous cyst in relation to a retained deciduous tooth in the maxillary anterior region and confirming its diagnosis histopathologically.
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Affiliation(s)
- Madhusudan Astekar
- Department of Oral Pathology, Pacific Dental College & Hospital, Udaipur, Rajasthan, India
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Kobayashi TY, Gurgel CV, Cota AL, Rios D, Machado MAA, Oliveira TM. The usefulness of cone beam computed tomography for treatment of complex odontoma. Eur Arch Paediatr Dent 2013; 14:185-9. [PMID: 23633234 DOI: 10.1007/s40368-013-0036-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2012] [Accepted: 02/21/2013] [Indexed: 01/12/2023]
Abstract
BACKGROUND Odontomas are odontogenic tumours, resulting from epithelial growth and differentiated mesenchymal cells, clinically asymptomatic, and often associated with changes to the eruption of the permanent dentition. In recent years, cone beam computed tomography (CBCT) has been used in the diagnosis and treatment planning of this condition. CASE REPORT A 9-year-old male patient, with an unerupted permanent maxillary right central incisor (tooth 11) presented to our clinic. The panoramic radiograph showed impaction of tooth 11 with incomplete root development and the suspicion of an odontome and supernumerary tooth. CBCT was performed and enabled the visualisation of a radiopaque image compatible with an odontome, confirming the presence of an impacted supernumerary tooth on the palatal surface of tooth 11. TREATMENT Surgical excision of the odontome and the supernumerary tooth was performed. FOLLOW-UP Clinical and radiographic evaluations 2 months after the removal of the lesion showed lack of space for the eruption of tooth 11. The patient was referred for orthodontic treatment and a Hyrax appliance was fitted. The patient has been followed for 12 months. CONCLUSION CBCT is an important auxiliary tool, aiding in both correct diagnosis and accurate treatment planning. It is currently a technology accessible to most paediatric dentists and should be beneficial considering the diagnostic information provided as well as the cost-benefit ratio for the patient.
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Affiliation(s)
- T Y Kobayashi
- Department of Paediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Al. Octávio Pinheiro Brisolla, 9-75, Bauru-SP, 17012-901, Brazil
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An SY, An CH, Choi KS. Odontoma: a retrospective study of 73 cases. Imaging Sci Dent 2012; 42:77-81. [PMID: 22783475 PMCID: PMC3389053 DOI: 10.5624/isd.2012.42.2.77] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2012] [Revised: 04/13/2012] [Accepted: 04/16/2012] [Indexed: 12/21/2022] Open
Abstract
Purpose The purpose of the present study was to retrospectively evaluate the clinical findings and treatment results for impacted permanent teeth associated with odontomas. Materials and Methods We retrospectively investigated 73 odontomas in 72 patients who visited Kyungpook National University Dental Hospital from April 2004 through November 2011. The study was performed using medical records, panoramic radiographs, and pathological reports. Data gathered included age, gender, location, chief complaints, effects on dentition, and treatment of odontoma and the impacted tooth associated with odontoma. Results Most compound odontomas (46.7%) were found in the second decade and complex odontomas were not related to age. Odontomas showed no gender predilection. Fifty-five cases (75.3%) of odontomas were detected on routine dental radiographs. Sixty percent of compound odontomas occurred in the canine area and 57.1% of complex odontomas in the molar areas. Impaction of permanent teeth (61.6%) was the most common complication on the adjacent teeth. Most odontomas (84.9%) were removed surgically and impacted permanent teeth were managed by surgical removal (53.2%), orthodontic treatment (25.5%), or surgical repositioning (6.4%). There was a statistically significant relation between age and preservation of the impacted permanent teeth associated with odontomas (p<0.01). Conclusion Early detection and treatment of odontomas increase the possibility of preservation of the impacted tooth. Therefore, it would be suggested that periodic panoramic examination during the first and second decade of life might be beneficial for the early detection and better prognosis of odontomas.
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Affiliation(s)
- Seo-Young An
- Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyungpook National University, Daegu, Korea
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