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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Compound odontoma associated with impacted maxillary incisors.
Compound Odontoma: Differential Diagnosis and Review of the Literature
Despite this, odontomas are clinically considered as tumor-like formations hamartomas of dental tissues or developmental anomalies, rather than true odontogenic neoplasms [ 2 ]. Abstract Odontomas have been extensively reported in the dental literature, and the term refers to tumors of odontogenic origin. CT scan revealed both lingual and buccal cortical plate perforations and the extent of the lesion in anteroposterior direction Figures 4 and 5. Mature enamel is completely lost to processing.
Odontoma – Wikipedia
Multiple compound odontomas in the jaw: Histopathological diagnosis was compatible with compound odontoma. Radiographs revealed a lesion of the anterior maxilla. A careful evaluation with panoramic and CT Dentascan X-rays revealed a buccal position of the permanent canine to the odontoma. Management consists of excision.
After separation of the crown from the root using a high-speed dental hand-drill and a diamond bur, the tooth and its follicular sac were extracted Figures 5 a and 5 b. Complex odontoma of unusual size involving the maxillary sinus: The tumor was treated by surgical excision under general anesthesia.
Retrieved from ” https: We present an interesting and a rare case of compound odontoma in the mandible of an adult patient. Kaban states that odontomas are easily enucleated. Oral and Maxillofacial Pathology.
The patient was under observation for 6-month period. A panographic radiograph showed a collection of tooth-like structures with a narrow radiolucent rim apical to the deciduous canine, lateral and central incisors in the right maxilla. Odontomas constitute the most common variety of odontogenic tumors resulting from growth of completely differentiated epithelial and mesenchymal cells.
Received May 20; Accepted May Complex odontomas occur in mandibular first and second molar region with slight or marked bony expansion [ 5 ].
Treatment for an odontoma is complete removal with any associated soft tissues. Odontomas are slow-growing, asymptomatic neoplasms found in jaws.
Most of these lesions are discovered accidentally on radiographic examination. Odontomas are relatively common, asymptomatic odontogenic lesions, rarely diagnosed before the second decade of life. Fibrous connective tissue with a cystic lining representing a dentigerous cyst may also be seen.
Complex odontomas should be surgically excised because they are characterized by expansion of cortical plates and if left untreated can cause pathological fracture of the bone. An 8-year-old girl presented to her dentist for a routine dental examination. Board review answer 1. Compound odontoma, mandibula, radiopaque, tooth-like.
This article has been cited by other articles in PMC. Compound-Complex odontoma – An important clinical entity. A provisional diagnosis of compound odontome was made. Radiographic Features A panographic radiograph showed a collection of odonntoma structures with a narrow radiolucent rim apical to the deciduous canine, lateral and central incisors in the right maxilla. Odontomas have been extensively reported in the dental literature, and the term refers to tumors of odontogenic origin.