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1.
Acta Clin Croat ; 60(1): 146-152, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-34588736

RESUMEN

Odontomas are benign odontogenic tumors formed from epithelial and mesenchymal cells. They are mostly associated with disorders of tooth eruption, causing impaction and/or delayed tooth eruption, and are an accidental finding on routine radiological examination. The aim of this paper is to present current findings in the etiology and treatment of odontomas, as well as the clinical and radiographic features, describing a case that is rarely found in the literature. A case of multiple complex odontoma in the mandible of an 11-year-old boy is presented, causing impaction of the first permanent right molar, 46. The treatment consisted of surgical enucleation of the multiple complex odontoma with preservation of the impacted tooth, monitoring clinically and radiologically its spontaneous eruption followed by final orthodontic alignment. Odontomas are not an everyday part of clinical practice and given that they are most commonly associated with permanent tooth impaction, it is extremely important to have knowledge of their clinical and radiological features. Early diagnostics and appropriate treatment result in better diagnosis, thus increasing the possibility of preserving the impacted teeth.


Asunto(s)
Odontoma , Diente Impactado , Niño , Humanos , Masculino , Odontoma/diagnóstico por imagen , Odontoma/cirugía , Radiografía , Diente Impactado/diagnóstico por imagen , Diente Impactado/cirugía , Resultado del Tratamiento
2.
Eur J Paediatr Dent ; 22(3): 215-218, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34544250

RESUMEN

AIM: Odontomas are odontogenic tumours of the jaws; they are generally asymptomatic with an unknown aetiology. This study was conducted on non-syndromic children aged 9 to 14 years to explore the side effects deriving from the presence of these benign tumours, as retention, transmigration, ectopic eruption of permanent teeth and the permanence of primary teeth in the affected area. METHODS: Two hundred panoramic (OPT) and 92 Cone Beam Computed Tomography radiographs (CBCT) of patients (130 males and 70 females) were analysed from February 2018 to December 2019. Two hundred odontomas (145 compound and 55 complex type) and 800 teeth (160 primary and 640 permanent) were included. RESULTS: The prevalence of these tumours in both male and female subjects was 65% and 35%, respectively; the prevalence of compound odontomas in maxillary and mandibular bones was respectively 27.58% and 72.41%. The prevalence of complex odontomas in maxillary bones in female and male subjects was 37.5% and 62.5% respectively. It was observed the presence of a primary tooth in 81% of cases, the presence of retained teeth in 16.5% and a dental transmigration in the remaining 2.5% of cases in the compound type. Gender (p?=0.158) has no significant correlation. CONCLUSIONS: An early diagnosis and removal of odontomas in primary dentition is crucial in order to prevent later dental complications. Since the detection of odontomas is mainly an accidental radiological finding, the need for routine radiographic analysis should be highlighted.


Asunto(s)
Odontoma , Diente Impactado , Niño , Preescolar , Femenino , Humanos , Masculino , Mandíbula , Odontoma/diagnóstico por imagen , Odontoma/epidemiología , Prevalencia , Diente Primario , Diente Impactado/diagnóstico por imagen , Diente Impactado/epidemiología
3.
Rev. cient. odontol ; 9(2): e061, abr.-jun. 2021. tab
Artículo en Español | LILACS, LIPECS | ID: biblio-1254600

RESUMEN

El diente invaginado (DI) es una alteración en el desarrollo del órgano dentario, el cual se produce a consecuencia de una invaginación del epitelio interno del órgano del esmalte, también conocido con otros nombres, entre ellos dens in dent. Tiene una serie de características clínicas, histológicas e imagenológicas debidamente descritas a través de la literatura. Su variante más extrema presenta una configuración muy compleja y, debido a la magnitud de la invaginación que presenta, se le denomina también odontoma dilatado, término que para algunos profesionales genera confusión.Este término ha sido mencionado como sinónimo tanto de DI como, en algún momento, de una nueva variante de odontomas, si bien existe una diferencia entre ambos tipos: uno es una anomalía del desarrollo y el otro, un crecimiento de aspecto hamartomatoso. Sin embargo, la literatura sigue utilizando ambos términos para definir al DI, por lo que es importante conocer el origen y tener claro que la controversia está basada en referencias históricas y de costumbre. (AU)


The invaginate tooth (IT) is an alteration in the development of the dental organ, which occurs as a consequence of invagination of the internal epithelium of the enamel organ. IT is also known as "dens in dente", among other denominations, and presents a series of clinical, histological and imaging characteristics. The most extreme variant of IT has a very complex configuration, and the magnitude of the intussusception has led to it also being called dilated odontoma, being a term that generates confusion in some professionals.While the term odontoma has been reported as a synonym for both IT as well as a new variant of odontomas, there is a difference betweene the two types: one is a developmental anomaly and the other is a growth with a hamartomatous appearance. However, the literature continues to use both terms to define IT, and thus, it is important to know the origin and be aware that the controversy is based on historical and customary references. (AU)


Asunto(s)
Odontoma , Dens in Dente , Tomografía Computarizada de Haz Cónico , Intususcepción
4.
Oral Maxillofac Surg ; 25(1): 89-97, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32676749

RESUMEN

The calcifying odontogenic cyst is as a benign, rare developmental odontogenic cyst with a wide range of histologic characteristics. It may present along with other odontogenic pathologies such as odontoma, ameloblastoma, adenomatoid odontogenic tumor, ameloblastic fibroma, and ameloblastic fibro-odontoma. Clinically, it can be an either intra- or extraosseous painless swelling that can produce cortical expansion. It affects mostly the anterior area of the mandible. Radiographically, it appears as a well-circumscribed unilocular radiolucency containing flecks of indistinct radiopacities. In about one third of cases, an impacted tooth is associated. In this paper, we employ a patient with an enormous calcifying odontogenic cyst to review both the pathology and active decompression and distraction sugosteogenesis, a novel technique employed to treat odontogenic entities. This dual approach usually results in an accelerated bone healing (sugosteogenesis), partial removal of the cystic epithelium, thickening of the wall, and migration of chronic inflammatory cells which triggered epithelial modulation, ultimately causing a realignment in the biologic behavior of the lesion.


Asunto(s)
Ameloblastoma , Quiste Odontogénico Calcificado , Tumores Odontogénicos , Odontoma , Ameloblastoma/diagnóstico por imagen , Ameloblastoma/cirugía , Descompresión , Humanos , Quiste Odontogénico Calcificado/diagnóstico por imagen , Quiste Odontogénico Calcificado/cirugía
5.
Gerodontology ; 37(4): 411-415, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33179813

RESUMEN

OBJECTIVE: This report discusses the clinical relevance of a novel case of an odontoma and transmigrated canine in the setting of florid cemento-osseous dysplasia (COD), hypercementosis and moderate to severe periodontitis in a 66-year-old patient. BACKGROUND: An odontoma may infrequently impede tooth eruption and rarely has been implicated with canine transmigration. COD is a benign fibro-osseous lesion associated with decreased vascularity and poorer surgical intervention. MATERIALS AND METHODS: A partially edentulous woman, in no acute distress, underwent clinical and radiographic evaluation in pursuit of comprehensive dental care. RESULTS: Radiographic assessment demonstrated multiple occult pathologies of the mandible, including compound odontoma, canine transmigration, florid COD, hypercementosis and moderate to severe periodontitis, a concurrence thought to be previously unreported. Furthermore, the presence of the odontoma and transmigrated canine is apparently the second reported case in the geriatric population. CONCLUSIONS: The attending clinician should carefully weigh removal of an impacted and transmigrated canine associated with an odontoma in the setting of COD and compromised bone, particularly in older individuals. When surgical intervention is deferred in these clinical situations, patients should continue to be monitored for clinical and radiographic development of pathologic processes.


Asunto(s)
Displasia Fibrosa Ósea , Odontoma , Diente Impactado , Anciano , Diente Canino/diagnóstico por imagen , Femenino , Humanos , Mandíbula , Odontoma/complicaciones , Odontoma/diagnóstico por imagen , Odontoma/cirugía , Diente Impactado/diagnóstico por imagen , Diente Impactado/cirugía
6.
Rev. Cient. CRO-RJ (Online) ; 5(1): 58-63, Jan.-Apr. 2020.
Artículo en Inglés | LILACS, BBO - Odontología | ID: biblio-1130177

RESUMEN

The purpose of this case report was to describe the surgical exposure and orthodontic management of an unerupted and ectopic maxillary right central incisor after trauma to the primary predecessor. Case report: An 11-year-old girl was referred to the Pediatric Dentistry Clinic due to eruption failure of the maxillary right central incisor. Radiographs showed the impacted central incisor located below the anterior nasal spine and its apex parallel to the palatal plane and the presence of an odontoma. General surgery was performed to remove the odontoma and two perforations in the crown of the impacted tooth were made to carry out orthodontic traction. Correct alignment was achieved after 18 months and no significant clinical or radiographic alterations were founded. Conclusion: The orthodontic management was performed successfully, and a positive esthetic outcome combined with adequate occlusion demonstrated the satisfactory results of this case.


Objetivo: O objetivo deste relato de caso foi descrever a exposição cirúrgica e o tratamento ortodôntico de um incisivo central superior direito ectópico e não irrompido após trauma do predecessor decíduo. Relato do caso: Uma menina de 11 anos de idade foi encaminhada à Clínica de Odontopediatria devido ao atraso na erupção do incisivo central superior direito. As radiografias mostraram o incisivo central impactado localizado abaixo da espinha nasal anterior e seu ápice paralelo ao plano palatino e a presença de um odontoma. A cirurgia para remoção do odontoma foi realizada sob anestesia geral e duas perfurações na coroa do dente impactado foram realizadas para a tração ortodôntica. O alinhamento correto foi alcançado após 18 meses e não foram encontradas alterações clínicas ou radiográficas significativas. Conclusão: O manejo ortodôntico foi realizado com sucesso, e um resultado estético positivo combinado à oclusão adequada demonstrou os resultados satisfatórios deste caso.


Asunto(s)
Ortodoncia , Cirugía Bucal , Diente , Enfermedades Dentales , Diente no Erupcionado , Odontoma , Enfermedades Estomatognáticas , Niño , Traumatismos de los Dientes , Incisivo
7.
Eur J Paediatr Dent ; 21(3): 199-202, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32893652

RESUMEN

BACKGROUND: Odontomas are hamartomatous developmental malformations of the dental tissues. Usually asymptomatic, their presence is often revealed on routine radiographs. The study aimed to establish the efficacy of this conventional approach in treating odontomas, analysing clinical outcome, follow-up, and histomorphological profile. CASE REPORT: A case is presented with a review of the international literature. The patient, aged 8 years, had a complex odontoma localised on the front upper jaw. She was treated following the conventional surgical procedure. Post-operative course and healing were uneventful. Orthodontic treatment was necessary to realign the teeth. At the 12-month follow-up there was no recurrence or failure. Healing was excellent. CONCLUSION: Variations in normal tooth eruption are a common finding, but significant deviations from established norms should alert the clinician to further investigate the patient's health and development.


Asunto(s)
Odontoma , Diente Impactado , Niño , Femenino , Humanos , Maxilar , Recurrencia Local de Neoplasia , Erupción Dental
8.
Stomatologiia (Mosk) ; 99(4): 67-70, 2020.
Artículo en Ruso | MEDLINE | ID: mdl-32692523

RESUMEN

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.


Asunto(s)
Odontoma/diagnóstico por imagen , Diente Impactado , Adolescente , Niño , Humanos , Radiografía , Factores de Riesgo , Erupción Dental
9.
Odovtos (En línea) ; 22(1): 23-28, ene.-abr. 2020. graf
Artículo en Inglés | LILACS, BBO - Odontología | ID: biblio-1091502

RESUMEN

ABSTRACT Odontomas can be detected as complex or compound variants and they rarely show the histologic characteristics of both types together. The tumor commonly associated with malocclusion, eruption disturbances and pathological anomalies, but they seldom cause bony expansion. Early detection and management of odontoma with multidisciplinary approach pose an important role to prevent disturbances associated with this common odontogenic tumor. Here we report a rare case of an odontoma which show the features of both complex and compound types and also cause bony expansion, eruption failure in an 8-year-old boy.


RESUMEN Los odontomas pueden detectarse como variantes complejas o compuestas y rara vez muestran la característica histológica de ambos tipos juntos. El tumor comúnmente se asocia con maloclusión, alteraciones de la erupción y anomalías patológicas, pero rara vez causan expansión ósea. La detección temprana y el manejo del odontoma con abordaje multidisciplinario representan un papel importante para prevenir las alteraciones asociadas con este tumor odontogénico común. Aquí presentamos un caso raro de un odontoma que muestra las características de los tipos complejos y compuestos y también causa expansión ósea, falla de erupción en un niño de 8 años.


Asunto(s)
Humanos , Masculino , Niño , Odontoma/complicaciones , Maloclusión , Hamartoma
10.
Minerva Stomatol ; 69(4): 203-206, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-32181612

RESUMEN

BACKGROUND: Odontomas are odontogenic tumors with a clinicopathological heterogeneity and a variable biological behavior. They usually are asymptomatic and can be discovered by routine radiographic investigations. This study aims to examine and compare intra- and postoperative consequences associated with use of piezosurgery and conventional rotary instruments for the removal of these oral lesions. METHODS: Clinical and histological data of 120 consecutive patients with a mean age of 22 years and 1 month (age range from 19 years and 1 month to 25 years and 3 months) with compound odontomas, diagnosed by biopsy, were assembled. Of a total of 120, 100 oral lesions were placed in the anterior region of the maxilla; of these, 50 were extracted through traditional rotary instruments (GROUP 1) and 50 with piezoelectric surgery (GROUP 2). The remaining 20 oral masses took place in the posterior area of the same bone; of these, 10 were extracted through traditional rotary instruments (GROUP 1a) and 10 with piezosurgery. (GROUP 2b). The piezoelectric cutting device was (Mectron Medical Technology) with MT1-10 insert, pump level 4, vibration level 7. Finally, pain, swelling, and surgical time evaluation were measured 24-48-72 hours after the intervention. RESULTS: As regards the mean time of surgery, in Group (1 and 1a) were 12 minutes, while in Group (2 and 2a) were 18 minutes. Regarding surgery, the osteotomy of the cortical bone was performed in all cases. As regards the measure of bone saved, calculated through a surgery gauge, it was greater of 3.2 mm in Group (2 and 2a) than in Group (1and 1a). The main of facial swelling in both Groups (1 and 1a) was 5.82 mm and 2.23 mm for the Groups (2 and 2a) immediately after surgery. CONCLUSIONS: Piezosurgery produced less postoperative discomfort about the swelling. It is an effective technique in daily surgical practice, especially as regards the safety of soft tissues, bone, and nerves.


Asunto(s)
Odontoma , Adulto , Edema , Humanos , Lactante , Maxilar , Osteotomía , Piezocirugía , Adulto Joven
11.
Niger J Clin Pract ; 23(3): 291-297, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32134025

RESUMEN

Aims: To evaluate the presence of dentofacial asymmetry in patients with odontoma by panoramic radiography. Methods: Panoramic images with odontoma were selected among all panoramic radiographs (3058 patients). Maxillary odontoma was detected in 27 patients while mandibular odontoma was detected in 25 patients. In addition, 30 patients with similar age and gender characteristics were selected as the control group. Skeletal angular, skeletal linear and dental measurements were performed on panoramic radiographs. The odontoma region and the opposite side of the odontoma of the individuals were examined. The dentofacial asymmetry of the odontoma groups was compared with the control group. Paired t-test was used to determine dentofacial asymmetry on the right and left side of the patients with odontoma. The ANOVA test was used for testing the differences among groups. Results: As a result of study, no significant difference was found between the region of the odontoma and the symmetrical region in the maxilla and mandibula (P > 0.05). In the control group, a statistically significant difference was found in the angle between the mandibular canal and the mental foramen, lower incisor size, PFH/CutCat(°), and Co-Mc-Me(°) measurements (P < 0.05). In the maxillary and mandibular odontoma groups, a statistically significant difference was found in the angle between the mandibular canal and the menton, CH (mm), RH (mm), and CrH (mm) in the comparison of the odontoma and the control group (P < 0.05). Conclusions: No difference was found between the right and left sides of the jaws related with the asymmetry of the maxilla and mandible.


Asunto(s)
Deformidades Dentofaciales/diagnóstico por imagen , Asimetría Facial/diagnóstico por imagen , Mandíbula/diagnóstico por imagen , Neoplasias Mandibulares/complicaciones , Maxilar/diagnóstico por imagen , Neoplasias Maxilares/complicaciones , Odontoma/complicaciones , Radiografía Panorámica/métodos , Adolescente , Adulto , Cefalometría/métodos , Femenino , Humanos , Incisivo , Masculino , Neoplasias Mandibulares/patología , Neoplasias Maxilares/patología , Odontoma/patología , Adulto Joven
12.
J Dent Child (Chic) ; 87(1): 44-47, 2020 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-32151310

RESUMEN

Ameloblastic fibro-odontoma (AFO) is a rare, benign, and mixed odontogenic tumor that consists of both ectodermal and mesenchymal elements. AFO is more prevalent in young children and adolescents than in adults and is usually found in the molar area associated with a failure of tooth eruption. The purpose of this report is to discuss the differential diagnosis and treatment of a three-year-old girl diagnosed with an AFO around a primary canine. The manifestations of the lesion resembled localized periodontal disease caused by an enamel pearl. Excision and curettage were done and the separated dental hard tissue was confirmed from the enamel structure of the primary canine. In addition to the hard tissue, pulpy and soft tissues were removed together and were histologically examined, confirming the diagnosis of AFO.


Asunto(s)
Neoplasias Mandibulares , Tumores Odontogénicos , Odontoma , Adolescente , Niño , Preescolar , Esmalte Dental , Femenino , Humanos , Diente Molar , Erupción Dental
13.
J Stomatol Oral Maxillofac Surg ; 121(5): 585-588, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-32220610

RESUMEN

Odontomas are benign and the most common odontogenic tumors. They are classified as compound or complex odontomas according to their radiological and histological features. They have slow growth potential and compound odontoma is more common. Since they are generally asymptomatic they may reach in excessive sizes. In our case we would like to present a case with a large (177 denticles) compound odontoma in mandible.


Asunto(s)
Tumores Odontogénicos , Odontoma , Estudios de Seguimiento , Humanos , Mandíbula , Odontoma/diagnóstico , Odontoma/cirugía
15.
J Stomatol Oral Maxillofac Surg ; 121(5): 604-607, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-31904531

RESUMEN

Odontomas are benign, non-aggressive, and the most common odontogenic tumor of the jaws. Composed of dental tissues, it can be classified as compound or complex odontomas depending on their radiological and histological features. Among them, complex odontomas are less common and usually is presented as a small and asymptomatic radiopaque mass surrounded by a radiolucent halo, found on routine radiographic examination. Although benign tumors, odontomas can reach large sizes leading to facial asymmetry and decreasing bone strength, which predisposes fractures and infection. Our aim was to present a case report of an unusual giant mandibular odontoma on the left mandibular angle and ramus successfully treated by surgical excision and highlight the importance of the earlier diagnostic to minimize damages.


Asunto(s)
Tumores Odontogénicos , Odontoma , Asimetría Facial , Humanos , Mandíbula , Odontoma/diagnóstico por imagen , Odontoma/cirugía , Radiografía
16.
Int J Oral Sci ; 12(1): 1, 2020 01 02.
Artículo en Inglés | MEDLINE | ID: mdl-31900382

RESUMEN

Odontogenic tumours are a heterogeneous group of lesions that develop in the oral cavity region and are characterized by the formation of tumoural structures that differentiate as teeth. Due to the diversity of their histopathological characteristics and clinical behaviour, the classification of these tumours is still under debate. Alterations in morphogenesis pathways such as the Hedgehog, MAPK and WNT/ß-catenin pathways are implicated in the formation of odontogenic lesions, but the molecular bases of many of these lesions are still unknown. In this study, we used genetically modified mice to study the role of IKKß (a fundamental regulator of NF-κB activity and many other proteins) in oral epithelial cells and odontogenic tissues. Transgenic mice overexpressing IKKß in oral epithelial cells show a significant increase in immune cells in both the oral epithelia and oral submucosa. They also show changes in the expression of several proteins and miRNAs that are important for cancer development. Interestingly, we found that overactivity of IKKß in oral epithelia and odontogenic tissues, in conjunction with the loss of tumour suppressor proteins (p53, or p16 and p19), leads to the appearance of odontogenic tumours that can be classified as ameloblastic odontomas, sometimes accompanied by foci of secondary ameloblastic carcinomas. These tumours show NF-κB activation and increased ß-catenin activity. These findings may help to elucidate the molecular determinants of odontogenic tumourigenesis and the role of IKKß in the homoeostasis and tumoural transformation of oral and odontogenic epithelia.


Asunto(s)
Células Epiteliales/metabolismo , Genes Supresores de Tumor , Quinasa I-kappa B/biosíntesis , Mucosa Bucal/patología , Tumores Odontogénicos/patología , Odontoma/patología , ARN Mensajero/genética , Animales , Western Blotting , Células Epiteliales/patología , Citometría de Flujo , Quinasa I-kappa B/genética , Quinasa I-kappa B/metabolismo , Ratones , Ratones Transgénicos , Mucosa Bucal/metabolismo , Tumores Odontogénicos/metabolismo , Odontoma/metabolismo , Reacción en Cadena en Tiempo Real de la Polimerasa
18.
Vet Pathol ; 57(1): 147-150, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31551010

RESUMEN

Odontomas are variably differentiated, hamartoma-like proliferations of odontogenic epithelium, pulp ectomesenchyme (odontoblasts), and dental matrix. Frogs are polyphyodont and homodont. Their teeth also differ from mammals in that they are restricted to the upper jaw in adults and lack a periodontal ligament and cementum, attaching directly to the underlying bone. Odontomas were identified in an African clawed frog (Xenopus laevis), a false tomato frog (Dyscophus guineti), and a tomato frog of unknown species (Dyscophus sp.). All of the examined odontomas were composed of numerous tooth-like structures comprising an arc of dentinal matrix lined on the convex surface by ameloblasts and on the concave surface by odontoblasts. Masson's trichrome and immunohistochemistry with pan-cytokeratin supported these findings. The pathogenesis of these lesions may be displacement of the dental lamina, which has been shown in research studies to lead to de novo proliferation of dental elements in frogs.


Asunto(s)
Anuros , Hamartoma/veterinaria , Neoplasias de la Boca/veterinaria , Tumores Odontogénicos/veterinaria , Odontoma/veterinaria , Animales , Hamartoma/diagnóstico , Hamartoma/patología , Inmunohistoquímica/veterinaria , Neoplasias de la Boca/diagnóstico , Neoplasias de la Boca/patología , Tumores Odontogénicos/diagnóstico , Tumores Odontogénicos/patología , Odontoma/diagnóstico , Odontoma/patología
19.
J Pak Med Assoc ; 70(12(A)): 2277-2280, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33475613

RESUMEN

Odontomas are one of the most common tumours of odontogenic origin. They are usually asymptomatic but may be associated with retained primary teeth or missing permanent teeth. Though the exact aetiology is unknown, the postulated causes include trauma, infection, inheritance and genetic mutation. Early diagnosis and management will result in fewer complications. Conservative surgical excision is the treatment of choice. This case report presents a treated case of compound odontoma associated with delayed eruption of the permanent central incisor in a nine-yearsold boy.


Asunto(s)
Anodoncia , Odontoma , Diente Impactado , Niño , Dentición Permanente , Humanos , Incisivo , Masculino , Odontoma/diagnóstico , Odontoma/diagnóstico por imagen , Diente Impactado/diagnóstico por imagen , Diente Impactado/cirugía
20.
F1000Res ; 9: 1204, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33604026

RESUMEN

This report describes a clinical case of asymptomatic compound odontoma in the anterior left side of the maxilla associated with an impacted canine and supernumerary tooth with a gubernacular canal of a 47- year-old female with no relevant medical history. Cone-beam computed tomography (CBCT) was performed for precise three-dimensional localization of each structure and assessment of their spatial relationship with the associated structures before surgery. The treatment protocol involved surgical enucleation of the odontoma and open extraction of both impacted and supernumerary teeth. Patient had uneventful healing and proceeded with the prosthodontic treatment plan. An experienced clinician can accurately diagnose a compound odontoma, as it has distinctive clinical and radiographic features. Thus, early detection and management of odontomas can help correction of any dental irregularity and avoid further complications.


Asunto(s)
Odontoma , Diente Impactado , Diente Supernumerario , Tomografía Computarizada de Haz Cónico , Femenino , Humanos , Maxilar/diagnóstico por imagen , Persona de Mediana Edad , Odontoma/diagnóstico por imagen , Odontoma/cirugía , Odontoma/veterinaria , Diente Impactado/diagnóstico por imagen , Diente Supernumerario/diagnóstico por imagen , Diente Supernumerario/cirugía
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