1
|
Ćabov T, Fuchs PN, Zulijani A, Ćabov Ercegović L, Marelić S. ODONTOMAS: PEDIATRIC CASE REPORT AND REVIEW OF THE LITERATURE. Acta Clin Croat 2021; 60:146-152. [PMID: 34588736 PMCID: PMC8305363 DOI: 10.20471/acc.2021.60.01.22] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 02/24/2021] [Indexed: 12/13/2022] Open
Abstract
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.
Collapse
Affiliation(s)
| | - Petra Nola Fuchs
- 1Department of Oral Surgery, University of Rijeka, Faculty of Dental Medicine, Rijeka, Croatia; 2Department of Oral Surgery, Rijeka University Hospital Centre, Rijeka, Croatia; 3Zagreb Dental Polyclinic, Zagreb, Croatia; 4Private Orthodontic Practice, Rijeka, Croatia
| | - Ana Zulijani
- 1Department of Oral Surgery, University of Rijeka, Faculty of Dental Medicine, Rijeka, Croatia; 2Department of Oral Surgery, Rijeka University Hospital Centre, Rijeka, Croatia; 3Zagreb Dental Polyclinic, Zagreb, Croatia; 4Private Orthodontic Practice, Rijeka, Croatia
| | - Lucija Ćabov Ercegović
- 1Department of Oral Surgery, University of Rijeka, Faculty of Dental Medicine, Rijeka, Croatia; 2Department of Oral Surgery, Rijeka University Hospital Centre, Rijeka, Croatia; 3Zagreb Dental Polyclinic, Zagreb, Croatia; 4Private Orthodontic Practice, Rijeka, Croatia
| | - Srđan Marelić
- 1Department of Oral Surgery, University of Rijeka, Faculty of Dental Medicine, Rijeka, Croatia; 2Department of Oral Surgery, Rijeka University Hospital Centre, Rijeka, Croatia; 3Zagreb Dental Polyclinic, Zagreb, Croatia; 4Private Orthodontic Practice, Rijeka, Croatia
| |
Collapse
|
2
|
Dąbrowski P, Nowakowski D, Gawlikowska-Sroka A, Maciuszczak I, Gronkiewicz S. A case of concrescent tooth-A developmental anomaly in a 19th century skull from Uganda. INTERNATIONAL JOURNAL OF PALEOPATHOLOGY 2017; 18:21-25. [PMID: 28888388 DOI: 10.1016/j.ijpp.2017.04.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/09/2017] [Revised: 04/20/2017] [Accepted: 04/25/2017] [Indexed: 06/07/2023]
Abstract
Dental abnormalities in archeological material such us concrescence or odontoma are rare cases often found accidentally, mostly during routine X-ray analysis or during macroscopic examination of the mastication apparatus. In this study, we present a rare case of concrescence between an upper left third molar and a supernumerary fourth molar in a 19th century skull from Uganda. Simultaneously, it is a critical revision of earlier studies on the same object (which considered this abnormality as an odontoma), using dental X-ray imaging and histological analysis. Concrescence is a rare dental anomaly and this specimen is, to the best of our knowledge, the first such case reported in paleopathological studies of Eastern Africa. It may contribute to recognition and identification of etiopathogenetic factors in dental developmental defects in historical and contemporary populations of Africa.
Collapse
Affiliation(s)
- P Dąbrowski
- Department of Normal Anatomy, Wrocław Medical University, Wrocław, Poland
| | - D Nowakowski
- Department of Anthropology, Wrocław University of Environmental and Life Sciences, Wrocław, Poland
| | - A Gawlikowska-Sroka
- Department of General and Clinical Anatomy, Pomeranian Medical University, Szczecin, Poland
| | - I Maciuszczak
- ARCHEOPOLIS Archeological Company. Izabela Maciuszczak. Miłocice, Poland
| | - S Gronkiewicz
- Anthropology Institute, Polish Academy of Science, Wrocław, Poland
| |
Collapse
|
3
|
Dutta SR, Passi D, Sharma S, Singh P, Ahmed M. Erupted Large Anterior Maxillary Complex Odontoma: A Rare Dental Hamartoma. J Clin Diagn Res 2016; 10:ZJ01-ZJ02. [PMID: 27790601 DOI: 10.7860/jcdr/2016/20279.8416] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2016] [Accepted: 06/08/2016] [Indexed: 11/24/2022]
Affiliation(s)
- Shubha Ranjan Dutta
- Assistant Professor, Department of Oral and Maxillofacial Surgery, MB Kedia Dental College , Chhapkaiya, Birgunj-2, Nepal
| | - Deepak Passi
- Tutor, Department of Oral and Maxillofacial Surgery, E.S.I.C. Dental College and Hospital , Rohini, Delhi, India
| | - Sarang Sharma
- Associate Professor, Department of Conservative Dentistry and Endodontics, E.S.I.C. Dental College and Hospital , Rohini, Delhi, India
| | - Purnima Singh
- Associate Professor, Department of Physiology, M B Kedia Dental College, Tribhuwan University , Chhapkaiya, Birgunj, Nepal
| | - Musharib Ahmed
- Reader, Department of Pedodontics, Indraprasth Dental College and Hospital , Sahibabad, Ghaziabad, Uttar Pradesh, India
| |
Collapse
|
4
|
Ohtawa Y, Ichinohe S, Kimura E, Hashimoto S. Erupted complex odontoma delayed eruption of permanent molar. THE BULLETIN OF TOKYO DENTAL COLLEGE 2015; 54:251-7. [PMID: 24521551 DOI: 10.2209/tdcpublication.54.251] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Odontomas, benign tumors that develop in the jaw, rarely erupt into the oral cavity. We report an erupted odontoma which delayed eruption of the first molar. The patient was a 10-year-old Japanese girl who came to our hospital due to delayed eruption of the right maxillary first molar. All the deciduous teeth had been shed. The second premolar on the right side had erupted, but not the first molar. Slight inflammation of the alveolar mucosa around the first molar had exposed a tooth-like, hard tissue. Panoramic radiography revealed a radiopaque mass indicating a lesion approximately 1 cm in diameter. The border of the image was clear, and part of the mass was situated close to the occlusal surface of the first molar. The root of the maxillary right first molar was only half-developed. A clinical diagnosis of odontoma was made. The odontoma was subsequently extracted, allowing the crown of the first molar to erupt almost 5 months later. The dental germ of the permanent tooth had been displaced by the odontoma. However, after the odontoma had been extracted, the permanent tooth was still able to erupt spontaneously, as eruptive force still remained. When the eruption of a tooth is significantly delayed, we believe that it is necessary to examine the area radiographically. If there is any radiographic evidence of a physical obstruction that might delay eruption, that obstruction should be removed before any problems can arise. Regular dental checkups at schools might improve our ability to detect evidence of delayed eruption earlier.
Collapse
Affiliation(s)
- Yumi Ohtawa
- Division of Special Needs Dentistry, Department of Oral Health Science, Tokyo Dental College
| | | | | | | |
Collapse
|