International Journal of Experimental Dental Science

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VOLUME 9 , ISSUE 2 ( July-December, 2020 ) > List of Articles

CASE REPORT

Seldom Alliance of Complex Compound Odontomas in Mixed Dentition!

Neeta S Padmawar, Viddyasagar P Mopagar, Vinay H Vadvadgi, Meghna Padubidri, Sumit Gunjal, Sourabh R Joshi

Keywords : Delayed eruption, Impacted tooth, Mixed dentition, Odontoma, Primary tooth

Citation Information : Padmawar NS, Mopagar VP, Vadvadgi VH, Padubidri M, Gunjal S, Joshi SR. Seldom Alliance of Complex Compound Odontomas in Mixed Dentition!. Int J Experiment Dent Sci 2020; 9 (2):70-72.

DOI: 10.5005/jp-journals-10029-1200

License: CC BY-NC 4.0

Published Online: 01-12-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Odontomas are common odontogenic tumors and generally appear as small, solitary, or multiple radiopaque lesions found on routine radiographic examinations. They are malformations of dental tissues and may interfere with the eruption of permanent tooth. This lesion occurs because of the developmental disturbances where dental components are laid down in a disorganized manner, due to the failure of normal morphodifferentiation. Case description: A 9-year-old boy reported to the Outpatient Department of Pediatric and Preventive Dentistry with the chief complaint of missing lower anteriors. Orthopantomogram revealed congenitally missing both lower lateral incisors and multiple pearl-like radiopacities in the association of mesial root of primary mandibular right first molar. Extraction of carious primary first molar under local anesthesia followed by the removal of multiple pearl-like structures were sent for histopathological examination. Discussion: Odontomas are common odontogenic origin benign tumor. Clinically, odontoma may result in over-retention of deciduous teeth, non-eruption of permanent teeth, pain, expansion of the cortical bone, and displaced tooth. Prognosis is favorable and relapse is rare but in our case odontoma recurred but it did not hamper the eruption of permanent premolar. Conclusion: Early diagnosis prevents further complications and reduces psychological and financial burden.


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  1. Kramer IRH, Pindborg JJ, Shear M. Histological typing of odontogenic tumours. WHO International histological classification of tumours. Berlin: Springer-Verlag. WHO; 1992.
  2. Owens B, Schuman N, Mincer H, et al. Dental odontomas: a retrospective study of 104 cases. J Clin Pediatr Dent 1997;21(3):261–264.
  3. Sánchez OH, Berrocal ML, González JM. Meta-analysis of the epidemiology and clinical manifestations of odontomas. Med Oral Patol Oral Cir Bucal 2008;13(11):730–734.
  4. Neville BW, Damm DD, Allen CM, et al. Oral and Maxillofacial Pathology. Philadelphia: Saunders; 1995. pp. 531–533.
  5. Cawson RA, Binnie WH, Eveson JW. Color Atlas of Oral Disease. Clinical and Pathological Correlations. Hong Kong: Mosby-Wolfe; 1993. pp. 6–19.
  6. Bordini J, Contar CM, Sarot JR, et al. Multiple compound odontomas in the jaw: case report and analysis of the literature. J Oral Maxillofac Surg 2008;66(12):2617–2620. DOI: 10.1016/j.joms.2007.08.027.
  7. Hisatomi M, Asaumi JI, Konouchi H, et al. A case of complex odontoma associated with an impacted lower deciduous second molar and analysis of the 107 odontomas. Oral Dis 2002;8(2):100–105. DOI: 10.1034/j.1601-0825.2002.1c778.x.
  8. Amado-Cuesta S, Gargallo-Albiol J, Berini-Aytés L, et al. Review of 61 cases of odontoma. Presentation of an erupted complex odontoma. Med Oral 2000;8(5):366–373.
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