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    Complex Odontomas

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    Ankita Arora
    odontomas

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    © All Rights Reserved
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    Complex Odontomas

    Uploaded by

    Ankita Arora
    35 views1 page
    odontomas

    Original Title

    Complex Odontomas (2)

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    © © All Rights Reserved

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    odontomas

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    35 views1 page

    Complex Odontomas

    Uploaded by

    Ankita Arora
    odontomas

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

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    Complex odontomas hindering eruption of maxillary


    permanent teeth: a radiological perspective
    Ankita Arora,1 Preethy Mary Donald2
    1
    Department of Pedodontics, DESCRIPTION
    Melaka Manipal Medical Odontomas are benign neoplasms of odontogenic
    College, Bukit Baru, Melaka,
    Malaysia
    origin. They are more appropriately termed hamar-
    2
    Department of Oral Medicine tomas because of their limited growth potential
    and Diagnosis, Faculty of rather than true neoplasm. Clinically, three types of
    Dentistry, Melaka-Manipal odontomas are identified in the literature: central
    Medical College, Melaka, (intraosseous) odontoma, peripheral (extraosseous
    Malaysia
    or soft tissue) odontoma and erupted odontoma,
    Correspondence to whereas histologically they can be either compound
    Dr Ankita Arora, (tooth-like structures) or complex (mixture of Figure 1 A dental panoramic radiograph of a
    4ankitaarora@gmail.com odontogenic tissues without dental organisation).1 12-year-old girl showing complex odontoma hindering
    These odontomas although benign cause distur- eruption of maxillary permanent teeth.
    Accepted 23 July 2016
    bances in tooth eruption, such as impaction,
    delayed eruption or retention of primary teeth.2

    Case report
    A 12-year-old girl reported to the clinic for routine Learning points
    dental check-up. Her medical, dental and family
    histories were insignificant. Oral examination
    revealed mixed dentition with presence of over- ▸ Appropriate radiographic investigations can
    retained maxillary deciduous teeth 62, 63 and 64 give insight into the underlying pathology
    (FDI) in the left quadrant. An orthopantomogram causing delayed eruption of permanent teeth.
    was advised and it revealed unerupted permanent ▸ Extraction of odontomas, unblock the eruption
    successors 22, 23 and 24 associated with a mixed pathways of permanent teeth hence, aiding in
    radiopaque-radiolucent lesion. The lesion showed eruption and arch alignment.
    multiple irregular radiopaque lesions in the maxil-
    lary anterior region surrounded by a thin radio-
    lucent rim. The calcified structures do exhibit
    radiodensity of tooth structures but did not show
    Competing interests None declared.
    any morphological resemblance to tooth, hence
    diagnosed as complex odontoma radiographically Patient consent Obtained.
    (figure 1). Provenance and peer review Not commissioned; externally peer
    Odontomas blocked the path of eruption of per- reviewed.
    manent successors, hence the reason for delayed
    eruption of permanent lateral incisor and first pre-
    To cite: Arora A, REFERENCES
    Donald PM. BMJ Case Rep
    molar and impaction of canine.
    The patient was referred to Department of Oral 1 Kramer IRH, Pindborg JJ, Shear M. Histological typing of
    Published online: [please odontogenic tumours. WHO International histological classification
    include Day Month Year] and Maxillofacial Surgery for extraction of these of tumours. Berlin: Springer-Verlag. WHO, 1992.
    doi:10.1136/bcr-2016- odontomas so that eruption of permanent succes- 2 Yildirim-Oz G, Tosun G, Kiziloglu D, et al. An unusual association
    216797 sors ensues. of odontomas with primary teeth. Eur J Dent 2007;1:45–9.

    Copyright 2016 BMJ Publishing Group. All rights reserved. For permission to reuse any of this content visit
    http://group.bmj.com/group/rights-licensing/permissions.
    BMJ Case Report Fellows may re-use this article for personal use and teaching without any further permission.
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    Arora A, Donald PM. BMJ Case Rep 2016. doi:10.1136/bcr-2016-216797 1

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