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Complex Odontoma


Presentation

  • This was also seen in this present case described.[opendentistryjournal.com]
  • Conclusion The present case highlights that odontomas could occur even in a very young age of 12 years presenting clinically as an inflammatory swelling unearthed with radiographic investigations.[ijsronline.net]
  • The history of presenting illness revealed that the swelling had been present for the past 6 months and had mildly increased in size for the past 2 months. The swelling had been asymptomatic.[contempclindent.org]
  • However, in the present case, the odontoma measured about 3 3 cm, which is very rare.[jiaomr.in]
  • Both kinds of odontomas are generally present only in bone; however, in extremely rare instances, they may erupt into oral cavity.[indjos.com]
Inflammation
  • They can even erupt inside the oral cavity and can lead to pain and inflammation. Large lesions can cause expansion of the cortical plates of the jaws leading to facial asymmetry.[opendentistryjournal.com]
  • On account of clinical findings of missing molars in a 12-year-old girl associated with moderate swelling and pus discharge, a diagnosis of inflammatory swelling secondary to pericoronal inflammation was suspected with a differential diagnosis of an infected[ijsronline.net]
  • The skin overlying it was normal with no signs of inflammation or ulceration [Figure 1] a. Intraoral examination revealed the presence of permanent dentition with missing left permanent mandibular first molar (36).[contempclindent.org]
Soft Tissue Mass
  • Figure 2: Irregular hard and soft tissue mass attached to extracted primary incisor Click here to view Tooth socket was curetted and irrigated with normal saline [Figure 3]. A pressure pack was given and healing was uneventful.[indjos.com]
Aspiration
  • Fine needle aspiration cytology of the lesion was performed, which yielded straw colored fluid and a provisional diagnosis of dentigerous cyst was made.[mjdrdypu.org]
Dysphagia
  • The dental team should inquire about the concurrent presence of dysphagia or a family history of dysphagia. 3 Differential Diagnoses: An odontoma associated with a dentigerous cyst is rare.[dentalcare.com]
Ulcer
  • The skin overlying it was normal with no signs of inflammation or ulceration [Figure 1] a. Intraoral examination revealed the presence of permanent dentition with missing left permanent mandibular first molar (36).[contempclindent.org]
  • There was no evidence of ulcer or growth noted on the mucosa. On palpation, the swelling was non-tender, hard in consistency with a smooth surface and well-defined borders. Expansion of the buccal cortical plate was noted [Figure 1].[jiaomr.in]

Treatment

  • After excision, bone grafts may be necessary depending on the need for further treatment.[jdionline.org]
  • Although similar in age range and clinical location to the odontoma, the neoplastic tumor has a clinically aggressive growth. 3-4 Treatment: Except for rare, large, complex lesions like this case, odontomas do not require treatment unless they block tooth[dentalcare.com]
  • An alternative treatment option for a bony defect from large odontoma using recycled demineralization at chair side. J Korean Assoc Oral Maxillofac Surg 2015;41:109-115. 7. Vengal M, Arora H, Ghosh S, Pai KM.[contempclindent.org]
  • The treatment of choice is surgical removal of the odontoma.[njcponline.com]
  • CASE REPORT A 35 years old male patient visited the department of Oral Surgery of the Consultation Center of Dental Treatment (CCDT) of Rabat with a swelling on the left side of the mandible.[opendentistryjournal.com]

Prognosis

  • The prognosis is good with surgical excision and recurrence is nil. Most of the times the surgical site can be closed primarily, but sometimes requires local flaps to achieve tension free closure.[amsjournal.com]
  • Regular follow-up period is crucial to evaluate the prognosis of these teeth.[njcponline.com]
  • Early diagnosis of odontomas allows adoption of a less complex and less expensive treatment and ensures better prognosis. Keywords: Anterior mandible, complex odontoma, primary tooth How to cite this article: Gill NC, Yadav R.[indjos.com]
  • The odontomas have a favorable prognosis with rare chances of relapse. 1. Shafer WG, Hine MK, Levy BM. Tumors and cysts of odontogenic origin. In: Shafer WG, Hine MK, Levy BM, editors. A Textbook of Oral Pathology. 4 th ed.[jiaomr.in]
  • Henceforth, the dental professionals must be well aware of the clinical as well as the radiological findings of such lesion so as to provide prompt treatment with better prognosis. ETHICS APPROVAL AND CONSENT TO PARTICIPATE Not applicable.[opendentistryjournal.com]

Etiology

  • This paper discusses a case report of a complex odontoma exhibiting all the structural features and defects of enamel, dentine, and cementum in succession, with an overview on its etiology.[mendeley.com]
  • Growth pressure due to inadequate space is been quoted as the etiology in some odontomas.[ncbi.nlm.nih.gov]
  • Although unknown, the etiology is said to include local trauma or infection.[jiaomr.in]
  • These are usually detected in routine radiographs and may have a variable etiology such as local trauma, genetic mutation, or infection. They are classified into two main types: complex and compound.[contempclindent.org]
  • The etiology of these tumours is unknown although some of the authors reveal it to be genetic in origin, or due to trauma or infection [ 15 - 20 ]. There is no gender predisposition [ 12 - 20 ].[opendentistryjournal.com]

Epidemiology

  • Metaanalysis of the epidemiology and clinical manifestations of odontomas. Med Oral Patol Oral Cir Bucal 2008;13(11):E730-4. 7. Kraugers GE, Miller ME, Abbey LM. Odontomas. Oral Surg Oral Med Oral Pathol 1989;67(2):172-1. 8.[ijsronline.net]
  • Metaanalysis of the epidemiology and clinical manifestations of odontomas. Med Oral Patol Oral Cir Bucal 2008;13:E730-4. 8. Iatrou I, Vardas E, Theologie-Lygidakis N, Leventis M.[jdionline.org]
  • Meta-analysis of the epidemiology and clinical manifestations of odontomas. Med Oral Patol Oral Cir Bucal 2008; 13: 730-4., 5 Vengel ER, Cremonini CC, Pedron IG, Zambon CE, Cavalcanti MG, Ceccheti MM.[benthamopen.com]
  • Epidemiology [ edit ] Odontomas are thought to be the second most frequent type of odontogenic tumor worldwide (after ameloblastoma ), accounting for about 20% of all cases within this relatively uncommon tumor category which shows large geographic variations[en.wikipedia.org]
  • […] ameloblastic fibro-odontomas as developing odontomas rather than a distinct tumor ( IARC: WHO Classification of Head and Neck Tumours, 4th Edition, 2017 ) Terminology Compound odontoma Complex odontoma Ameloblastic fibro-odontoma Peripheral odontoma Epidemiology[pathologyoutlines.com]
Sex distribution
Age distribution

Pathophysiology

  • […] common odontogenic tumor Usually diagnosed during the first two decades of life No sex predilection Sites Can occur in any tooth bearing area Compound odontoma usually occurs in anterior maxilla Complex odontoma usually occurs in posterior mandible Pathophysiology[pathologyoutlines.com]

Prevention

  • Surgical management of complex odontoma associated with agenesis of a molar 1 Departement of Paedodontics and Preventive Dentistry, Manipal College of Dental Sciences, Mangalore, Karnataka, India 2 Departement of Oral and Maxillofacial Surgery, Manipal[contempclindent.org]
  • Early diagnosis of odontoma is important for preventing craniofacial and tooth developmental problems.[indjos.com]
  • Calcifying odontogenic cyst of anterior maxilla with complex odontoma 1 Department of Oral and Maxillofacial Surgery, AME'S Dental College Hospital and Research Centre, Raichur, Karnataka, India 2 Department of Pedodontics and Preventive Dentistry, AME'S[mjdrdypu.org]
  • Complications can be prevented by surgical excision followed by histopathological analysis. A careful follow-up of the case, both clinically and radiographically is necessary to assess the eruption of the unerupted or impacted teeth.[jiaomr.in]
  • […] mandibular 3 rd molar was close to the lower border of mandible, a reconstruction plate was fixed along the lower border of mandible posteriorly from ramus of mandible and extending anteriorly up to 1 st premolar 44, through trans buccal approach to prevent[jdionline.org]

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