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Ectopic compound odontoma in the buccal mucosa: report of a rare case.

Venigalla A, Guttikonda LK, Nelakurthi H, Babburi S, Pinisetti S, Kotti AB, Kalapala L - Case Rep Dent (2015)

Bottom Line: Clinical, radiographic, and histopathologic examination suggested the diagnosis of compound odontoma.Very few cases have been reported so far, where tooth has been located completely in the soft tissue and a variety of names have been used for that condition.A brief review of the literature and the ambiguity in naming the situation is discussed.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Pathology, Drs Sudha & Nageswara Rao Siddhartha Institute of Dental Sciences, Chinoutpalli, Gannavaram, Krishna, Andhra Pradesh 521 286, India.

ABSTRACT
Eruption of tooth into extraosseous locations is an extremely rare condition. We report a case of a six-year-old girl child with tooth-like structure erupting from the right buccal mucosa. Clinical, radiographic, and histopathologic examination suggested the diagnosis of compound odontoma. Very few cases have been reported so far, where tooth has been located completely in the soft tissue and a variety of names have been used for that condition. A brief review of the literature and the ambiguity in naming the situation is discussed.

No MeSH data available.


Related in: MedlinePlus

Orthopantomograph showing location of mass in the right buccal mucosa.
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fig3: Orthopantomograph showing location of mass in the right buccal mucosa.

Mentions: Radiologic examination revealed a radiopaque mass consisting of three tooth-like structures surrounded by a narrow radiolucent rim exclusively located in the posterior aspect of right buccal mucosa and no other ossifications were evident (Figures 2 and 3). Surgical excision of the mass was performed under local anaesthesia and the specimen was sent for histopathologic examination. Macroscopic examination revealed three miniature tooth-like structures with attached soft tissue (Figure 4). Microscopic examination of the decalcified section revealed an enamel space, dentinoenamel junction, dentin, pulp, and cementum in a manner similar to normal tooth (Figure 5). Fibrous connective tissue with islands of mucous minor salivary gland tissue owing to its location in the buccal mucosa was also evident (Figure 6). Based on all the above findings, a final diagnosis of compound odontoma was given.


Ectopic compound odontoma in the buccal mucosa: report of a rare case.

Venigalla A, Guttikonda LK, Nelakurthi H, Babburi S, Pinisetti S, Kotti AB, Kalapala L - Case Rep Dent (2015)

Orthopantomograph showing location of mass in the right buccal mucosa.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4355819&req=5

fig3: Orthopantomograph showing location of mass in the right buccal mucosa.
Mentions: Radiologic examination revealed a radiopaque mass consisting of three tooth-like structures surrounded by a narrow radiolucent rim exclusively located in the posterior aspect of right buccal mucosa and no other ossifications were evident (Figures 2 and 3). Surgical excision of the mass was performed under local anaesthesia and the specimen was sent for histopathologic examination. Macroscopic examination revealed three miniature tooth-like structures with attached soft tissue (Figure 4). Microscopic examination of the decalcified section revealed an enamel space, dentinoenamel junction, dentin, pulp, and cementum in a manner similar to normal tooth (Figure 5). Fibrous connective tissue with islands of mucous minor salivary gland tissue owing to its location in the buccal mucosa was also evident (Figure 6). Based on all the above findings, a final diagnosis of compound odontoma was given.

Bottom Line: Clinical, radiographic, and histopathologic examination suggested the diagnosis of compound odontoma.Very few cases have been reported so far, where tooth has been located completely in the soft tissue and a variety of names have been used for that condition.A brief review of the literature and the ambiguity in naming the situation is discussed.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Pathology, Drs Sudha & Nageswara Rao Siddhartha Institute of Dental Sciences, Chinoutpalli, Gannavaram, Krishna, Andhra Pradesh 521 286, India.

ABSTRACT
Eruption of tooth into extraosseous locations is an extremely rare condition. We report a case of a six-year-old girl child with tooth-like structure erupting from the right buccal mucosa. Clinical, radiographic, and histopathologic examination suggested the diagnosis of compound odontoma. Very few cases have been reported so far, where tooth has been located completely in the soft tissue and a variety of names have been used for that condition. A brief review of the literature and the ambiguity in naming the situation is discussed.

No MeSH data available.


Related in: MedlinePlus