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Management of large erupting complex odontoma in maxilla.

Murphy C, O'Connell JE, Cotter E, Kearns G - Case Rep Pediatr (2014)

Bottom Line: They are characterized by slow growth and nonaggressive behaviour.They are usually asymptomatic and are identified on routine radiograph but may present with erosion into the oral cavity with subsequent cellulitis and facial asymmetry.We also discuss various surgical approaches used to access this anatomic area.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland.

ABSTRACT
We present the unusual case of a large complex odontoma erupting in the maxilla. Odontomas are benign developmental tumours of odontogenic origin. They are characterized by slow growth and nonaggressive behaviour. Complex odontomas, which erupt, are rare. They are usually asymptomatic and are identified on routine radiograph but may present with erosion into the oral cavity with subsequent cellulitis and facial asymmetry. This present paper describes the presentation and management of an erupting complex odontoma, occupying the maxillary sinus with extension to the infraorbital rim. We also discuss various surgical approaches used to access this anatomic area.

No MeSH data available.


Related in: MedlinePlus

Axial and coronal CT images demonstrating the extent of the lesion in the right maxillary antrum.
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fig1: Axial and coronal CT images demonstrating the extent of the lesion in the right maxillary antrum.

Mentions: A 13-year-old boy was referred to the department of oral and maxillofacial surgery in a tertiary referral centre and presented with a right facial cellulitis, and a hard mass was palpable in his right maxilla The patient reported that the symptoms had begun 1 week previously but that he had noticed a mass in the right maxillary molar area 6 months previously. The infection was treated with empirical intravenous antibiotic therapy. Extraoral examination revealed a hard swelling over the right maxilla, with an associated intraoral calcified mass and missing molar teeth. There was no associated sensory nerve deficit. Plain radiographs and computed tomography demonstrated an extensive calcified lesion in the right maxilla, extending to the infraorbital rim (Figures 1 and 2). An incisional biopsy was taken and histopathological examination suggested the presence of odontoma or fibrous dysplasia.


Management of large erupting complex odontoma in maxilla.

Murphy C, O'Connell JE, Cotter E, Kearns G - Case Rep Pediatr (2014)

Axial and coronal CT images demonstrating the extent of the lesion in the right maxillary antrum.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4279725&req=5

fig1: Axial and coronal CT images demonstrating the extent of the lesion in the right maxillary antrum.
Mentions: A 13-year-old boy was referred to the department of oral and maxillofacial surgery in a tertiary referral centre and presented with a right facial cellulitis, and a hard mass was palpable in his right maxilla The patient reported that the symptoms had begun 1 week previously but that he had noticed a mass in the right maxillary molar area 6 months previously. The infection was treated with empirical intravenous antibiotic therapy. Extraoral examination revealed a hard swelling over the right maxilla, with an associated intraoral calcified mass and missing molar teeth. There was no associated sensory nerve deficit. Plain radiographs and computed tomography demonstrated an extensive calcified lesion in the right maxilla, extending to the infraorbital rim (Figures 1 and 2). An incisional biopsy was taken and histopathological examination suggested the presence of odontoma or fibrous dysplasia.

Bottom Line: They are characterized by slow growth and nonaggressive behaviour.They are usually asymptomatic and are identified on routine radiograph but may present with erosion into the oral cavity with subsequent cellulitis and facial asymmetry.We also discuss various surgical approaches used to access this anatomic area.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland.

ABSTRACT
We present the unusual case of a large complex odontoma erupting in the maxilla. Odontomas are benign developmental tumours of odontogenic origin. They are characterized by slow growth and nonaggressive behaviour. Complex odontomas, which erupt, are rare. They are usually asymptomatic and are identified on routine radiograph but may present with erosion into the oral cavity with subsequent cellulitis and facial asymmetry. This present paper describes the presentation and management of an erupting complex odontoma, occupying the maxillary sinus with extension to the infraorbital rim. We also discuss various surgical approaches used to access this anatomic area.

No MeSH data available.


Related in: MedlinePlus