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Alhazmi YA. The Enigma Unveiled: Expansile Compound-complex Odontoma in the Anterior Maxilla of a Teenager. Int J Clin Pediatr Dent 2024; 17:82-85. [PMID: 38559850 PMCID: PMC10978505 DOI: 10.5005/jp-journals-10005-2735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2024] Open
Abstract
Aim and objective The objective of this case report is to offer insight into an expansive compound-complex odontoma located in the anterior maxilla of a 15-year-old male. The focus is placed on the importance of early detection and the progressive comprehension of odontomas. Background Odontomas are common odontogenic lesions that are frequently discovered during examinations for delayed tooth eruption. There are two distinct classifications for odontomas-compound odontomas and complex odontomas. With its own each set of characteristics. A timely diagnosis is critical for avoiding complications. Case description A male individual aged 15 years exhibited an expansive compound-complex odontoma located in the anterior maxilla. The clinical examination showed delayed tooth eruption and asymptomatic swelling. The radiographic images showed a radiopaque mass with tooth-like structures and radiolucent borders affecting the surrounding dentition. A surgical excision procedure was conducted, followed by a subsequent histopathological examination confirming the diagnosis of compound-complex odontoma. The patient continued orthodontic treatment after a 1-year follow-up without recurrence. Clinical significance This case emphasizes the importance of regular dental exams in detecting odontomas early. This observation also highlights the growing understanding of odontomas as hamartomatous odontogenic malformations and the challenges of diagnosing them clinically. Additional molecular investigations are required to facilitate the classification and elucidation of genetic factors. How to cite this article Alhazmi YA. The Enigma Unveiled: Expansile Compound-complex Odontoma in the Anterior Maxilla of a Teenager. Int J Clin Pediatr Dent 2024;17(1):82-85.
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Affiliation(s)
- Yaser Ali Alhazmi
- Department of Oral and Maxillofacial Surgery and Diagnostic Sciences, Jazan University, Jazan, Saudi Arabia
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Boffano P, Cavarra F, Brucoli M, Ruslin M, Forouzanfar T, Ridwan-Pramana A, Rodríguez-Santamarta T, de Vicente JC, Starch-Jensen T, Pechalova P, Pavlov N, Doykova I, Konstantinovic VS, Jezdić Z, Barrabé A, Louvrier A, Meyer C, Snäll J, Hagström J, Dovšak T, Birk A, Rocchetti V. The epidemiology and management of odontomas: a European multicenter study. Oral Maxillofac Surg 2023; 27:479-487. [PMID: 35715707 DOI: 10.1007/s10006-022-01091-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Accepted: 06/09/2022] [Indexed: 10/18/2022]
Abstract
INTRODUCTION Odontoma is the most commonly diagnosed odontogenic tumor of the oral cavity. The objective of the present study was to assess the demographic variables, patterns, diagnostic features, and management issues of odontomas treated at several European departments of maxillofacial and oral surgery. MATERIALS AND METHODS This study was conducted at 8 European departments of oral surgery between January 1, 2004, and December 31, 2018. Only patients with odontomas were included. The following data were recorded for each patient: gender, age, comorbidities, site, size of odontomas, radiographic features, type of odontoma, treatment of odontomas, treatment of associated teeth, complications, and recurrence. RESULTS A total of 127 patients (70 male and 57 female patients) with odontomas were included. The mean age was 22 years; 71 odontomas were found in the mandible, whereas 56 in the maxilla. In the mandible, the most frequently involved subsite was the parasymphysis, while in the maxilla, the most common subsite was the upper incisor region. The mean size of included odontomas was 15.3 mm. On the whole, 62 complex odontomas, 50 compound odontomas, and 15 mixed-type odontomas were observed. Complete excision of the odontomas was performed in 121 patients. In 24 patients, the extraction of deciduous teeth was performed, and in 43 patients, one or more permanent teeth were removed. Finally, in 9 patients, a partial excision of the odontoma was performed. Recurrence was observed in 4 cases out of 127 patients. CONCLUSIONS Dental practitioners should be aware of the distinct clinical and radiographic features of odontoma in order to perform an appropriate and early diagnosis. Conventional radiography, such as panoramic radiograph, is often sufficient technique for a diagnosis after clinical suspicion or for an incidental diagnosis to prevent later complications, such as impaction or failure of eruption of teeth.
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Affiliation(s)
- Paolo Boffano
- Division of Dentistry, Vercelli Hospital, Vercelli, Italy.
| | | | - Matteo Brucoli
- Division of Maxillofacial Surgery, University Hospital "Maggiore Della Carità", University of Eastern Piedmont, Novara, Italy
| | - Muhammad Ruslin
- Department of Oral and Maxillofacial Surgery, Hasanuddin University, Makassar, Indonesia
| | - Tymour Forouzanfar
- Department of Oral and Maxillofacial Surgery/Oral Pathology, VU University Medical Center, Amsterdam, The Netherlands
| | - Angela Ridwan-Pramana
- Department of Oral and Maxillofacial Surgery/Oral Pathology, VU University Medical Center, Amsterdam, The Netherlands
| | | | - Juan Carlos de Vicente
- Servicio de Cirugía Maxilofacial, Hospital Universitario Central de Asturias, Oviedo, Spain
| | - Thomas Starch-Jensen
- Department of Oral and Maxillofacial Surgery, Aalborg University Hospital, Aalborg, Denmark
| | - Petia Pechalova
- Department of Oral Surgery, Medical University of Plovdiv, Plovdiv, Bulgaria
| | - Nikolai Pavlov
- Clinic of Maxillofacial Surgery, University Hospital "St. George", Plovdiv, Bulgaria
| | - Iva Doykova
- Department of Maxillofacial Surgery, Medical University of Plovdiv, Plovdiv, Bulgaria
| | | | - Zoran Jezdić
- School of Dental Medicine, University of Belgrade, Belgrade, Serbia
| | - Aude Barrabé
- Department of Oral and Maxillofacial Surgery - Hospital Dentistry Unit, University Hospital of Besançon, Besançon, France
| | - Aurélien Louvrier
- Department of Oral and Maxillofacial Surgery - Hospital Dentistry Unit, University Hospital of Besançon, Besançon, France
- UMR 1098 Interactions Hôte-Greffon-Tumeur/Ingénierie Cellulaire Et Génique, University of Franche-Comté, INSERM, EFS BFC, 25000, Besançon, Besançon, France
| | - Christophe Meyer
- Department of Oral and Maxillofacial Surgery - Hospital Dentistry Unit, University Hospital of Besançon, Besançon, France
- EA 4662 Nanomedicine Lab Imagery and Therapeutics, University of Franche-Comté, F-25000 , Besançon, France
| | - Johanna Snäll
- Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
| | - Jaana Hagström
- Department of Pathology, Research Programs Unit, Translational Cancer Biology, University of Helsinki and HUS Helsinki University Hospital, University of Helsinki, Helsinki, Finland, Helsinki, Finland
| | - Tadej Dovšak
- Department of Maxillofacial and Oral Surgery of the University Medical Centre, Ljubljana, Slovenia
| | - Anže Birk
- Department of Maxillofacial and Oral Surgery of the University Medical Centre, Ljubljana, Slovenia
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Nguyen DK, Van Huynh D. Clinical and radiological characteristics of odontomas: A retrospective study of 90 cases. Imaging Sci Dent 2023; 53:117-126. [PMID: 37405206 PMCID: PMC10315233 DOI: 10.5624/isd.20220184] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Revised: 01/25/2023] [Accepted: 01/28/2023] [Indexed: 11/25/2023] Open
Abstract
PURPOSE Odontomas represent a common clinical entity among odontogenic tumors, but are not well-addressed in the Vietnamese population. The present study aimed to determine the clinical and preclinical characteristics of odontomas and associated factors in the Vietnamese population. MATERIALS AND METHODS This retrospective study retrieved data from histopathological diagnoses from 2 central hospitals of Odonto-Stomatology in Ho Chi Minh City, Vietnam during 2004-2017. The odontomas were classified as complex (CxOD) or compound (CpOD) subtypes. The epidemiological, clinical, and radiological characteristics of the odontomas, stratified by subtype and sex, were obtained and analyzed. RESULTS Ninety cases, consisting of 46 CxODs and 44 CpODs, were included. The average age of patients was 32.4 (±20.2) years. The patients with CxOD were older than those with CpOD (P<0.05). Clinically, 67% of patients showed an intraoral bone expansion. Approximately 60% of patients with CxOD exhibited a painful symptom, about 3-fold more than those with CpOD (P<0.05), whereas almost all patients with CpOD exhibited perturbations of dentition, unlike those with CxOD (P<0.05). Radiologically, CxOD was characterized by a larger dimension than CpOD in both sexes (P<0.05), and CpOD induced complications in adjacent teeth more often than CxOD (P<0.05). The development of odontoma with advancing age differed significantly in odontoma subtypes related to their pathological origins, and between the sexes, resulting from different physiological states. CONCLUSION The findings of this study highlight the value of clinical and radiological features of odontomas and their associated factors for the early diagnosis and adequate treatment of younger patients.
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Affiliation(s)
- Dung Kim Nguyen
- U1059 INSERM - SAINBIOSE (SAnté INgéniérie BIOlogie St-Etienne), Campus Santé Innovation, Université Jean Monnet, Saint-Priest-en-Jarez, France
| | - Duong Van Huynh
- Department of Maxillofacial Surgery, National Hospital of Odonto-Stomatology, Ho Chi Minh, Vietnam
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Omara M, Gouda A, Ali S. Computer-guided buccal cortical plate separation for removal of calcified benign odontogenic tumors affecting the mandibular angle region. Maxillofac Plast Reconstr Surg 2022; 44:30. [PMID: 36136180 PMCID: PMC9500123 DOI: 10.1186/s40902-022-00354-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Accepted: 07/03/2022] [Indexed: 11/10/2022] Open
Abstract
PURPOSE Surgical removal of intra-bony calcific benign lesions is technically challenging regarding its accessibility, proximity to vital structures, and deteriorating effect on the remaining bony structures. METHODS Computer-guided buccal cortical plate separation was performed for ten patients using patient-specific osteotomy locating guides and pre-bent plates. The guide was designed to outline the osteotomy, the buccal cortical plate was separated, the lesion was removed, and finally, the pre-bent plates were used to fix the separated cortex. RESULTS Surgical procedures were uneventful for all patients, operation time was 39.5 ± 13.01 min, postoperative pain decreased within the follow-up time intervals, and there was a statistical significant difference between the time intervals (P value < 0.001). Edema and trismus were acceptable. One case showed nerve affection which resolved after 4 weeks. CONCLUSION Computer-guided buccal cortical plate separation for removal of intra-bony calcified benign lesions provides a promising approach, especially for inexperienced surgeons. TRIAL REGISTRATION ClinicalTrials.gov NCT05329974 . Registered on 6 April 2022-retrospectively registered.
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Affiliation(s)
- Mohammed Omara
- Oral and Maxillofacial Surgery Department, Faculty of Oral and Dental Medicine, Cairo University, Cairo, Egypt.
| | - Ayman Gouda
- Oral and Maxillofacial Surgery Department, Faculty of Oral and Dental Medicine, Cairo University, Cairo, Egypt
| | - Sherif Ali
- Oral and Maxillofacial Surgery Department, Faculty of Oral and Dental Medicine, Cairo University, Cairo, Egypt
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Khalifa C, Omami M, Garma M, Slim A, Sioud S, Selmi J. Compound-complex odontoma: A rare case report. Clin Case Rep 2022; 10:e05658. [PMID: 35387291 PMCID: PMC8978784 DOI: 10.1002/ccr3.5658] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 03/08/2022] [Accepted: 03/09/2022] [Indexed: 11/06/2022] Open
Abstract
The World Health Organization (WHO) classifies odontomas as odontogenic tumors, consisting of odontogenic epithelium and ectomesenchyme. They result from developmental abnormalities and, therefore, do not constitute authentic tumors. It is a local malformation that has no growth autonomy. They are rarely symptomatic and are usually discovered accidentally during the realization of a radiographic examination. There are two variants of odontomas: complex and compound. Complex odontomas are made of a mass consisting of an anarchic assembly of mineralized tissue (enamel, dentin, and cementum) and dental pulp; while compound odontomas are consisting of a set of small rudimentary teeth, assembling in clusters. They rarely show the features of both types together. The aim of this work is to report a rare presentation of an odontoma in a 24-year-old male patient, which present the characteristics of both complex and compound variants. Surgical excision of the lesion was performed. Anatomopathological examination confirmed the diagnosis. Clinical and radiological survey does not show any recurrence.
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Affiliation(s)
- Chaima Khalifa
- Department of Oral Medicine and Oral Surgery Dental Clinic of Monastir Monastir Tunisia
- Faculty of Dental Medicine Laboratory of oral health and maxillofacial rehabilitation (LR12ES11) University of Monastir Monastir Tunisia
| | - Mounir Omami
- Department of Oral Medicine and Oral Surgery Dental Clinic of Monastir Monastir Tunisia
- Faculty of Dental Medicine Laboratory of oral health and maxillofacial rehabilitation (LR12ES11) University of Monastir Monastir Tunisia
| | - Maroua Garma
- Department of Oral Medicine and Oral Surgery Dental Clinic of Monastir Monastir Tunisia
- Faculty of Dental Medicine Laboratory of oral health and maxillofacial rehabilitation (LR12ES11) University of Monastir Monastir Tunisia
| | - Afef Slim
- Department of Oral Medicine and Oral Surgery Dental Clinic of Monastir Monastir Tunisia
- Faculty of Dental Medicine Laboratory of oral health and maxillofacial rehabilitation (LR12ES11) University of Monastir Monastir Tunisia
| | - Sameh Sioud
- Department of Oral Medicine and Oral Surgery Dental Clinic of Monastir Monastir Tunisia
- Faculty of Dental Medicine Laboratory of oral health and maxillofacial rehabilitation (LR12ES11) University of Monastir Monastir Tunisia
| | - Jamil Selmi
- Department of Oral Medicine and Oral Surgery Dental Clinic of Monastir Monastir Tunisia
- Faculty of Dental Medicine Laboratory of oral health and maxillofacial rehabilitation (LR12ES11) University of Monastir Monastir Tunisia
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Hovorakova M, Zahradnicek O, Bartos M, Hurnik P, Stransky J, Stembirek J, Tucker AS. Reawakening of Ancestral Dental Potential as a Mechanism to Explain Dental Pathologies. Integr Comp Biol 2021; 60:619-629. [PMID: 32492167 DOI: 10.1093/icb/icaa053] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
During evolution, there has been a trend to reduce both the number of teeth and the location where they are found within the oral cavity. In mammals, the formation of teeth is restricted to a horseshoe band of odontogenic tissue, creating a single dental arch on the top and bottom of the jaw. Additional teeth and structures containing dental tissue, such as odontogenic tumors or cysts, can appear as pathologies. These tooth-like structures can be associated with the normal dentition, appearing within the dental arch, or in nondental areas. The etiology of these pathologies is not well elucidated. Reawakening of the potential to form teeth in different parts of the oral cavity could explain the origin of dental pathologies outside the dental arch, thus such pathologies are a consequence of our evolutionary history. In this review, we look at the changing pattern of tooth formation within the oral cavity during vertebrate evolution, the potential to form additional tooth-like structures in mammals, and discuss how this knowledge shapes our understanding of dental pathologies in humans.
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Affiliation(s)
- Maria Hovorakova
- Institute of Histology and Embryology, First Faculty of Medicine, Charles University in Prague, Albertov 4, 128 00 Prague 2, Czech Republic.,Institute of Experimental Medicine, Czech Academy of Sciences, Videnska 1083, 14220 Prague 4, Czech Republic
| | - Oldrich Zahradnicek
- Institute of Experimental Medicine, Czech Academy of Sciences, Videnska 1083, 14220 Prague 4, Czech Republic
| | - Martin Bartos
- Department of Stomatology, First Faculty of Medicine, Charles University, General University Hospital in Prague, Katerinska 32, 12801 Prague 2, Czech Republic.,Institute of Anatomy, First Faculty of Medicine, Charles University, U Nemocnice 3, Prague 2, 128 00, Czech Republic
| | - Pavel Hurnik
- Department of Pathology, University Hospital Ostrava, 17. listopadu 1790, Ostrava-Poruba, 708 52, Czech Republic.,Department of Pathology at Faculty of Medicine, University of Ostrava, Syllabova 19, Ostrava-Zabreh, 703 00, Czech Republic
| | - Jiri Stransky
- Department of Oral and Maxillofacial Surgery, University Hospital Ostrava, 17. listopadu 1790, 708 52 Ostrava-Poruba, Czech Republic
| | - Jan Stembirek
- Department of Oral and Maxillofacial Surgery, University Hospital Ostrava, 17. listopadu 1790, 708 52 Ostrava-Poruba, Czech Republic.,Institute of Animal Physiology and Genetics, v.v.i., Czech Academy of Sciences, Veveri 97, 602 00, Brno 2, Czech Republic
| | - Abigail S Tucker
- Centre for Craniofacial and Regenerative Biology, Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, SE1 9RT, UK
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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.
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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
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