Clinical and Histopathological Investigation of Odontomas: Review of the Literature and Presentation of 160 Cases

Tekkeşın, Merva Soluk; Pehlivan, Sevim; Olgaç, Vakur; Aksakallı, Nihan; Alatlı, Canan

doi:10.1016/j.joms.2011.05.024

Cited by 117 publications

(147 citation statements)

References 11 publications

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“…Gender distribution was found to be equal (3,4). The mean age at diagnosis was 27.9 with a peak of between age 10 to 19 while compound odontomas were diagnosed at a younger age than were complex odontomas and they are often diagnosed during explorations because of a delay tooth eruptions or incidentally on control radiographs (7,10).…”

Section: Discussionmentioning

confidence: 99%

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Surgical Treatment of a Large Complex Odontoma

Cezairli¹,

Taskesen²,

Çoşkun³

et al. 2017

meandros

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The treatment modalities for odontomas are generally depend on the tumors size. Small and medium lesions can usually be removed easily allowing preservation of surrounding anatomical structures. In our study, we reported a conservative surgical treatment of a large complex odontoma. A 19-year-old woman was referred to our clinic after an incidentally observed lesion on her right mandibular angle. The patient was symptom-free at the time of visit. Computed tomography (CT) images showed a mass with a size of 3.5 cm x 3 cm x 2 cm. CT sections and tridimensional images showed partially eroded buccal and lingual cortex. Surgical treatment was indicated with an initial diagnosis of compound odontoma. The lesion removed after sectioning with bur and maxillo-mandibular fixation (MMF) were not thought to be necessary while the buccal and lingual cortexes were mostly reliable for preventing a fracture. In our case, the size of the odontoma was suitable for a conservative treatment method and with this modality we managed to prevent a possible fracture and eliminate the disadvantages of MMF.Odontomaların tedavi yöntemleri genellikle tümör boyutuna bağlıdır. Küçük ve orta boyuttaki lezyonlar genellikle çevredeki anatomik yapılara zarar vermeden kolaylıkla çıkarılabilir. Çalışmamızda dev bir odontomanın konservatif bir şekilde cerrahi tedavisi ele alınmaktadır. On dokuz yaşındaki kadın hasta, sağ mandibular angulusta radyolojik muayene sırasında fark edilen bir lezyon sonrasında kliniğimize sevk edildi. Hasta, muayene esnasında semptomsuzdu. Bilgisayarlı tomografi (BT) görüntüleri 3,5 cm x 3 cm x 2 cm boyutlarında bir kitleyi gösterdi. BT kesitleri ve üç boyutlu görüntülerde kısmen aşınmış bukkal ve lingual korteks görüldü. Kompound odontoma tanısı koyulan lezyonun cerrahi yaklaşımla tedavi edilmesine karar verildi. Bukkal ve lingual kortekslerin kırığı önlemede yeterli kalınlıkta olduğu olguda freze edilerek parçalar halinde uzaklaştırılan lezyon sonrasında maksillo-mandibular fiksasyon (MMF) gibi yöntemlerin gerekli olmadığı düşünüldü. Bizim olgumuzda, odontomun büyüklüğü konservatif bir tedavi yöntemi için olmasıyla beraber hem olası bir fraktür önlemiş hem de MMF'nin dezavantajlarını ortadan kaldırılmıştır.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Etiology is not clear but trauma, infection, genetic and hereditary are accepted as the possible causes (8,10).…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment of a Large Complex Odontoma

Cezairli¹,

Taskesen²,

Çoşkun³

et al. 2017

meandros

View full text Add to dashboard Cite

show abstract

“…The odontogenic tumour epithelial cells are recapitulating genetic programs expressed during normal odontogenesis, but the tumour cells demonstrate abnormal expression of these genes [6]. Odontomas can also manifest as part of some syndromes: Gardner syndrome, Hermann syndrome, familial colonic adenomatosis, and basal cell nevus syndrome [7].…”

Section: Discussionmentioning

confidence: 99%

An Erupted Silent Tumour

Kudva

Chithra

Rao

et al. 2015

J. Maxillofac. Oral Surg.

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Odontomas are the most common odontogenic tumors of the oral cavity which are nonaggressive, hamartomatous in nature consisting of enamel, dentin and cementum. They are called as composite because they contain more than one type of tissue. They are generally asymptomatic, hence recognised on routine radiologic examination. The compound odontoma is composed of multiple small tooth like structures, whereas the complex odontoma consists of a conglomerate mass of enamel and dentine, which bears no anatomical similarity to the tooth. The eruption and infection of odontoma are uncommon, only few cases of erupted complex odontoma are reported in the literature. We report a case of silent erupting complex odontoma.

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“…4 The pathogenesis is not clear, but trauma during primary dentition, heredity, and genetic mutations are accepted possible etiologic factors. 6 They are a common cause of symptomless tooth impaction.…”

Section: Discussionmentioning

confidence: 99%

Large Complex Odontoma in Mandible: A Case Report

Kiliniç¹,

Saruhan²,

Ertaş³

et al. 2015

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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Purpose: Odontomas are benign odontogenic tumors of the jaws and constitutes about 22% of all odontogenic tumors. Odontomas are divided into two subtypes, complex odontoma and compound odontoma, with differences in their macroscopic and microscopic features. Compound odontomas are encountered mostly in the anterior maxilla, whereas complex odontomas are often seen in the posterior mandible. The aim of this case report was to present surgical removal of a complex odontoma associated with second and third molar and inferior alveolar nerve. Material Method: 21 year-old-male patient was referred our department with a large complex odontoma which is seated in the left mandibular molar region and associated with impacted third and second molar and inferior alveolar nerve. Impacted teeth and complex odontoma was removed surgically. Results: There was no complication or numbness postoperatively. Conclusion: Complex odontomas are benign odontogenic tumors and recurrence is unusual.

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Clinical and Histopathological Investigation of Odontomas: Review of the Literature and Presentation of 160 Cases

Cited by 117 publications

References 11 publications

Surgical Treatment of a Large Complex Odontoma

Surgical Treatment of a Large Complex Odontoma

An Erupted Silent Tumour

Large Complex Odontoma in Mandible: A Case Report

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