Complex odontoma: A single center case series.

Odontoma is a benign mixed odontogenic tumor. Odontoma is classified into two variants: compound odontoma, which has resemblance to the tooth structure, and complex odontoma, which consists of haphazardly arranged enamel and dentin bearing no resemblance to the tooth structure. The most common site of occurrence of complex odontoma is the posterior aspect of mandible. Surgical excision of the complex odontoma remains the mainstay of treatment, which seldom recurs. Here, we report a series of complex odontoma cases reported to our institute that were managed by surgical excision with no signs of recurrence in subsequent follow-up appointments.

A Rare Case Report of Unusual Number of Compound Odontomas in a Pediatric Patient.

Aim: This case report aims to describe the importance of early diagnosis, clinical features, and timely management of multiple odontomas in pediatric patient. Background: Odontoma is a benign odontogenic tumor of epithelial and mesenchymal origin. Odontomas can occur in multiples and can be associated with other dental anomalies. It may adversely affect the normal development and eruption of the permanent succedaneous teeth. Case description: We report a case of multiple odontomas in association with unerupted permanent incisor and its surgical management. Conclusion: The efforts in diagnosing and managing odontomas at an early age hold a good impact on a child's oral health status. Clinical significance: Early diagnosis, proper treatment planning, appropriate management, and regular follow-ups of odontomas hold great importance for pediatric dentists as well as general dentists in routine dental practice. How to cite this article: Goswami M, Chauhan N, Johar S. A Rare Case Report of Unusual Number of Compound Odontomas in a Pediatric Patient. Int J Clin Pediatr Dent 2024;17(4):497-500.

Gigantic Multiple Odontomas of Jaws in a Pediatric Patient: A Rare Case.

Odontomas are mixed epithelial and mesenchymal tumor-like malformations (hamartoma) composed of dental hard and soft tissue, causing delayed teeth eruption. Multiple case reports have been published in the literature describing solitary, localized odontoma features in pediatric patients along with their treatment planning. This report presents clinical and radiographic features of gigantic multiple odontomas involving both jaws in a five-year-old boy.

Unveiling the Mysteries of a Composite Compound Odontoma: Insights From the Management of a Rare Entity.

Odontomas are one of the slow-growing odontogenic tumors. They are not a true neoplasm and are considered to be hamartoma. Odontomas consist of four distinct tissues, i.e., enamel, dentin, pulp, and cementum. Odontomas develop from fibroepithelial and undifferentiated mesenchymal cells which are essential for the development of the tooth. These are mostly asymptomatic and are incidentally detected on routine radiographic examination. This case report presents a unique case of a composite compound odontoma in an adult patient with flaring of teeth. A 28-year-old male patient reported to the Department of Dentistry for the correction of spacing in the upper front tooth region. Prompt diagnosis and management, including odontoma removal and aesthetic correction, were initiated. This case highlights the possibility of the presence of malformed tooth-like structures associated with flaring of teeth. It also focuses on the need for increased vigilance in individuals undergoing aesthetic correction procedures in the anterior maxillary region.

Management of Mandibular Compound Odontoma With Numbness in the Lower Jaw.

Odontomas are considered to be among the more common odontogenic tumors in the oral cavity. Several authors classify them as hamartomas instead of actual tumors. Odontomes' precise etiology is still unknown. The majority of odontomas are found during routine radiography studies and are asymptomatic. Odontomes typically cause disruptions to the teeth's eruption, most frequently deflection or delayed eruption. Here, the reported study details the surgical management of a mandibular compound odontoma in a patient who presented with a complaint of numbness in his lower jaw.

Management of compound odontoma with 70 denticles and impacted lateral incisor over an 8-year follow-up.

Odontomas are benign developmental tumors formed by the improper growth of completely differentiated epithelial and mesenchymal cells of odontogenic origin. The etiology of odontoma is unknown and it is detected during routine radiographic examination. The ideal management is early detection and surgical enucleation. The commonly associated clinical problems of odontomas are delayed exfoliation of primary teeth, delayed eruption or impaction of permanent teeth, displacement of teeth, root resorption, congenital missing, and widening of follicular space. Here, we describe a unique case of compound odontoma with a high number of denticles managed based on a definite decision support system over 8 years. An 8-year-old boy with 70 denticles in the left maxillary region underwent enucleation. On periodic follow-up, the associated impacted lateral incisor was extruded orthodontically.

Los odontomas y sus implicancias / Odontomas and their implications

La Organización Mundial de la Salud clasifica los odontomas como tumores odontogénicos benignos compuestos de epitelio odontogénico y ectomesénquima odontogénico con formación de tejido duro dental. Los odontomas, por definición, son lesiones habitualmente hamartomatosas que suelen encontrarse sobre dientes no erupcionados, compuestas de esmalte, dentina, pulpa y cemento en formas reconocibles de dientes (odontoma compuesto) o bien como una masa nudosa sólida (odontoma complejo). Algunos tumores constituyen una combinación de ambos tipos (es decir, no solo contienen estructuras múltiples de aspecto similar a un diente, sino también masas calcificadas de tejido dental dispuestas al azar). Estas lesiones se denominan odontomas complejos-compuestos. Otro tipo, el fibroodontoma ameloblástico, es un tumor infrecuente que contiene los componentes tisulares blandos del fibroma ameloblástico y los componentes de tejido duro del odontoma complejo (AU)

The World Health Organization classifies odontomas as a benign odontogenic tumor composed of odontogenic epithelium and odontogenic ectomesenchyma with dental hard tissue formation. Odontomas, by definition, are usually hamartomatous lesions, frequently found on unerupted teeth, composed of enamel, dentin, pulp and cement in recognizable forms of teeth (compound) or a solid knotty mass (complex). Some tumors constitute a combination of both types (i.e., they not only contain multiple structures similar in appearance to a tooth, but also calcified masses of dental tissue arranged at random). These lesions are called complex-compound odontomas. Another type, the ameloblastic fibro-odontoma, is an infrequent tumor that contains the soft tissue components of the ameloblastic fibroma and the hard tissue components of the complex odontoma (AU)

Multiple Complex Odontomas of the Mandible: A Rare Case Report and Literature Review.

A 53-year-old female appeared with pain in the right mandible ramus, for the past 9 months, after tooth extraction. Clinical and radiological examination using conventional and advanced computerized tomography diagnostic imaging led to a provisional diagnosis of multiple complex odontomas. Complete conservative excision of the lesion was performed. The clinical diagnosis was confirmed histopathologically. Postoperative period was uneventful with no evidence of recurrence. According to an extensive literature review, this report describes the oldest patient ever diagnosed with multiple odontomas in the literature.

Erupted odontome associated with a primary molar: A unique clinical presentation, 4-year follow-up.

Erupted odontomas occur very rarely in both the primary and permanent dentitions. The present case report discusses an unusual erupted odontome associated with a primary first mandibular molar. A 7-year-old female patient with an erupted odontome in the oral cavity was reported. The surgical extraction of odontome was performed under local anesthesia to allow eruption of underlying premolar tooth. After 4 years of follow-up, the first premolar had erupted with an unusual occlusal morphology, similar to that of a primary first molar. Orthopantomogram revealed no supplemental/supernumerary teeth in the vicinity of the erupted tooth. Early evaluation, precise diagnosis of odontogenic lesions interfering with erupting teeth, especially in the first decade of life is essential for prevention of malocclusion in young children. Erupted permanent successor should be differentiated from a primary first molar to avoid unnecessary extraction.

Transmigrated canines associated to odontomas / Caninos transmigrados asociados a odontomas

We present the case of a 13-year-old patient with bilateral transmigration of mandibular canine associated with multiple composite odontoma. Impacted canines are very uncommon, with a 0.1 % to 3.6 % prevalence of appearance. The presence in the mandible is less frequent. The odontoma development is often associated with the impacted canines. The etiology is unknown but is associated with traumatic, infectious, hereditary or genetic factors. This pathology is asymptomatic and associated with eruption disorders in temporal and permanent dentition.

Presentamos el caso de un paciente de 13 años de edad con trasmigración bilateral de canino mandibular asociado a múltiples odontomas compuestos. Los caninos impactados son muy poco frecuentes, con una prevalencia de aparición de 0,1 % a 3,6 %. La presencia en la mandíbula es menos frecuente. El desarrollo de odontomas se asocia a menudo con los caninos impactados. La etiología es desconocida pero está asociada con factores traumáticos, infecciosos, hereditarios o genéticos. Esta patología es asintomática y está asociada a trastornos de erupción en dentición temporal y permanente.

Odontogenic tumors: where are we in 2017 ?

Odontogenic tumors are a heterogeneous group of lesions of diverse clinical behavior and histopathologic types, ranging from hamartomatous lesions to malignancy. Because odontogenic tumors arise from the tissues which make our teeth, they are unique to the jaws, and by extension almost unique to dentistry. Odontogenic tumors, as in normal odontogenesis, are capable of inductive interactions between odontogenic ectomesenchyme and epithelium, and the classification of odontogenic tumors is essentially based on this interaction. The last update of these tumors was published in early 2017. According to this classification, benign odontogenic tumors are classified as follows: Epithelial, mesenchymal (ectomesenchymal), or mixed depending on which component of the tooth germ gives rise to the neoplasm. Malignant odontogenic tumors are quite rare and named similarly according to whether the epithelial or mesenchymal or both components is malignant. The goal of this review is to discuss the updated changes to odontogenic tumors and to review the more common types with clinical and radiological illustrations.

Diagnóstico precoz y tratamiento oportuno del odontoma compuesto en un niño Peruano de 3 años / Early diagnosis and timely treatment of composite odontoma in a peruvian child of 3 years

Los odontomas son los tumores odontogénicos benignos y asintomáticos más comunes en los maxilares. Generalmenteel diagnóstico y tratamiento ocurren entre la segunda y tercera década de la vida. El propósito del caso que presentamo sexplica que el diagnóstico precoz se puede obtener desde los primeros años de vida con la interpretación de los antecedentes anamnésicos, la evaluación clínica y radiográfica oportuna para realizar el tratamiento temprano de los odontomas, con el objetivo de evitar en los pacientes complicaciones y secuelas a futuro como la retención dentaria, reabsorción o dilaceración radicular, expansión ósea, formación quística y sus recurrencias.

Odontomas are the most common benign and asymptomatic benign tumor in the maxillaries. Diagnostic and treatment generally occur from the second decade of life. The purpose of the case presented explains the historical background,timely clinical and radiographic evaluation allow to obtain early diagnostics and therefore realize early treatment of odontomas, with the objetive to avoid future complications and aftermaths in patients as dental retention, root reabsorptionand dilacerations, bone expansion, cyst formation and recurrence.

Odontoma erupcionado: presentación de un caso y revisión de la literatura / Erupted odontoma: a case report and literature review

Los odontomas son clasificados por la OMS como tumores odontogénicos benignos compuestos por esmalte, dentina, cemento y pulpa, considerados lesiones hamartomatosas más que verdaderos neoplasmas. En casos excepcionales erupcionan hacia la cavidad bucal.En este trabajo se realiza la presentación de un caso de odontoma que se expone espontáneamente a la cavidad bucal, en un paciente masculino de 22 años, entidad que se conoce con el nombre de “odontoma erupcionado”. Se presenta también una revisión de la literatura entre los años 1980 y 2015, de los casos existentes de esta patología.

Odontomas are classified by the WHO as odontogenic tumors composed of enamel, dentin, cement and pulp, considered hamartomatous lesions rather than true neoplasms. In exceptional cases, odontomas erupt into the oral cavity.This study reports a case of odontoma spontaneously exposed to the oral cavity, which is known as “erupted odontoma”, in a 22-year-old male patient. A review of the literature between 1980 and 2015 of the existing cases of this pathology is also presented.

Odontomas and supernumerary teeth: is there a common origin?

The aim of the present work is to analyze all scientific evidence to verify whether similarities supporting a unified explanation for odontomas and supernumerary teeth exist. A literature search was first conducted for epidemiologic studies indexed by PubMed, to verify their worldwide incidence. The analysis of the literature data shows some interesting similarities between odontomas and supernumerary teeth concerning their topographic distribution and pathologic manifestations. There is also some indication of common genetic and immuno-histochemical factors. Although from a nosological point of view, odontomas and supernumeraries are classified as distinct entities, they seem to be the expression of the same pathologic process, either malformative or hamartomatous.

Clinico-pathological study of odontomas in 19 Libyan patients.

BACKGROUND: Odontomas are among the most common benign odontogenic tumors, which are mostly discovered in the first and second decades of life with no clear sex predilection. MATERIALS AND METHODS: The present retrospective study reviews the clinical, radiological, and the histopathological characteristics of odontomas in 19 Libyan patients seen during the last 18 years in our department. RESULTS: Most odontomas in our study were discovered when they obstruct a tooth from an eruption at its normal eruption time although a few cases were noticed on routine radiological examination of the region. Panoramic radiographs computed Tomography Scan of the area and the histopathological examination are helpful to elicit the diagnosis. Two cases in this series were found associating with dentigerous cyst and in another two cases the odontomas were seen erupting intraorally. CONCLUSION: Odontomas should be considered in the differential diagnosis of the mixed radioopaque radiolucent lesions, especially if they found obstructing the teeth from eruption.

Compound odontomas in saudi child - a case report.

Odontomas are odontogenic lesions with occurrence rate of 22% in the oral Cavity. They generally appear as small, solitary or multiple radio-opaque lesions on routine radiographic examinations and are subdivided into complex or compound odontomas morphologicaly. Compound odontomas occur commonly in the incisor-canine region of the maxilla and complex odontomas are located frequently in the premolar and molar region of both jaws. This paper describes a case of compound odontoma in anterior maxilla blocking the eruption of upper incisors and canine in a eight years old child. The surgical excision of the lesion was performed to allow the eruption of permanent teeth. In present case three years follow up indicate no sign of recurrence. Early detection of odontomas allows the adoption of a less complex expensive treatment, eruption of permanent teeth and ensures better prognosis.

Surgical management of an erupted complex odontoma occupying maxillary sinus.

The occurrence of complex odontomas is not considered to be rare in the jaws. But the occurence of large odontomas obscuring the maxillary sinus, or erupting into the oral cavity are considered to be rare. 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. Here, we report such a case treated by surgical excision trans orally followed soft tissue defect reconstruction with pedicled palatal island flap.

To research the clinical and paraclinical characteristic of odontomas

All cases of odontoma treated at Hanoi Institute of Odonto-maxillo facial Institute from 1994 to 2004 were investigated. Odontoma had been occurred at any age group, the lowest was 6, the highest was 67 and mean age 20.59 years. 58.82% of Odontoma had been occurred in the upper maxial bone, 41.18% in the lower. Common clinical sumptoms were bone swell in 88.24% of cases, permanent loss of tooth 47.06%, existing milk tooth in 76.47%, pain in 11.76%. In 47.06% the pre-operative diagnosis was agreed with patho-anatomical diagnosis and 93.33% of preoperative diagnosis with pathoanatomical diagnosis Odontoma complex accounted for 73.33% and odontoma compound 26.67%.