The term is now used to denote leasions that contain all the dental tissues and includes two types, the complex and the compound odontoma. According to the. A case of compound odontomas of the anterior maxilla is discussed. Multiple tooth like structures were discovered upon surgical excision. An odontoma (also termed odontome) is a benign tumour of odontogenic origin Specifically, it A compound odontoma still has the three separate dental tissues (enamel, dentin and cementum), but may present a lobulated appearance.
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Radiologically, odontomas are classified as complex, compound and cystic. On palpation there was vestibular tenderness in coompound to right mandibular first molar and palpable sharp point distal to the first molar.
Surgical Management of Compound Odontoma Associated with Unerupted Tooth
After thorough curettage, the wound was closed using 3—0 vicryl and the specimen was sent for histopathological examination Figure 7. This is an open access article distributed under the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The radiographic picture revealed the presence of multiple radio opaque tooth-like structures between the roots of 13 and 14, surrounded by a narrow radiolucent zone [ Figure 1 ].
A complete intraoral and extraoral examination was carried out. These lesions are often associated with impacted permanent teeth [ 1011 ].
Multiple compound odontomas in the jaw: Intraoperative photograph showing the exposed odontoma Click here to view. Compound odontoma, hamartoma, odontogenic tumor. A careful knowledge and an excellent evaluation of X-ray documents are essentials to resolve adequately each clinical case.
Footnotes Source of Support: Differential Diagnosis of Oral and Maxillofacial Lesions. Odontogenic cysts and tumours. Ameloblastic fibroodontoma and ameloblastic odontoma were considered in differential diagnosis.
Recurrence uncommon for isolated sporadic odontoma Remaining teeth in region of odontoma may be affected by the presence of odontoma and require treatment. Compound odontomas are more common in the anterior jaws, while complex odontomas occur more often in the posterior jaws. In complex odontomas, all dental tissues are formed, but appeared without an organized structure.
Macroscopically, these hard tissue bits were 3 in number and measured approximately 1 cm each in length [ Figure 2 ]. A retrospective study of cases. They are usually asymptomatic and are often discovered during routine radiography. Fibrous connective tissue with a cystic lining representing a dentigerous cyst may also be seen 15 — Rarely, an odontoma may erupt into compoound oral cavity.
Case Reports in Dentistry
Generally, as in the index case, the treatment of choice is not always surgical removal of the lesion, unless the patient had a history of pain or swelling in the area 1 — 4.
Copound Textbook of Oral Pathology.
Recurrence is not described; if it recurs, one must rule out other odontogenic lesions such as calcifying odontogenic cyst and ameloblastic fibro-odontoma 8 — odontoms The author hereby transfers, assigns, or otherwise conveys all copyright ownership, including any and all odonyoma incidental thereto, exclusively to the journal, in the event that such work is published by the journal.
Compound odontomas are often associated with impacted adjacent permanent teeth and their surgical removal represents the best therapeutic option.
Compound and complex odontomas. Management consists of excision. The purpose of this technique is to preserve as much as possible the surrounding bone tissue in order to promote healing and cause less discomfort to the patient during postoperative time.
Retrieved from ” https: The origin of complex odontoma is unknown; some suggest trauma or infection to be the odontom. The treatment of choice is surgical excision of the lesion followed by histopathological study to confirm the diagnosis. Six-month postoperative orthopantomograph revealed complete bony healing without any recurrence.