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Unusually large erupted complex odontoma: A rare case report.

Bagewadi SB, Kukreja R, Suma GN, Yadav B, Sharma H - Imaging Sci Dent (2015)

Bottom Line: Odontomas are nonaggressive, hamartomatous developmental malformations composed of mature tooth substances and may be compound or complex depending on the extent of morphodifferentiation or on their resemblance to normal teeth.They are usually asymptomatic in nature.Occasionally, these tumors become large, causing bone expansion followed by facial asymmetry.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Medicine and Radiology, ITS Centre for Dental Studies and Research, Murad Nagar, Ghaziabad, Uttar Pradesh, India.

ABSTRACT
Odontomas are nonaggressive, hamartomatous developmental malformations composed of mature tooth substances and may be compound or complex depending on the extent of morphodifferentiation or on their resemblance to normal teeth. Among them, complex odontomas are relatively rare tumors. They are usually asymptomatic in nature. Occasionally, these tumors become large, causing bone expansion followed by facial asymmetry. Odontoma eruptions are uncommon, and thus far, very few cases of erupted complex odontomas have been reported in the literature. Here, we report the case of an unusually large, painless, complex odontoma located in the right posterior mandible.

No MeSH data available.


Related in: MedlinePlus

Intraoral photograph shows a swelling with an ulcer on the buccal mucosa.
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Figure 2: Intraoral photograph shows a swelling with an ulcer on the buccal mucosa.

Mentions: Intraoral examination revealed a yellowish brown, irregularly shaped solid mass, appearing as calculus, measuring approximately 3.5 cm (mesiodistally)×4 cm (buccolingually), situated in the region of the right posterior mandibular teeth. The mass extended mesiodistally from the region of the second premolar to that of the third molar. Buccally, the vestibular space was encroached upon by the mass, causing tissue tags on the buccal mucosa at the occlusal level due to repeated cheek biting (Fig. 2). The right mandibular second premolar and the first, second, and third molars were clinically missing. An ulcer was observed on the buccal mucosa adjacent to the lesion, which was due to chronic irritation caused by the lesion that started bleeding upon manipulation. The patient was able to occlude his teeth properly. Upon palpation, we found that this lesion was bony hard, mobile, and nontender in nature. Based on the abovementioned clinical findings, a provisional diagnosis of fibro-osseous lesion, probably cemento-ossifying fibroma, was made, while odontoma, cementoblastoma, and osteoid osteoma were considered in the differential diagnoses.


Unusually large erupted complex odontoma: A rare case report.

Bagewadi SB, Kukreja R, Suma GN, Yadav B, Sharma H - Imaging Sci Dent (2015)

Intraoral photograph shows a swelling with an ulcer on the buccal mucosa.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4362991&req=5

Figure 2: Intraoral photograph shows a swelling with an ulcer on the buccal mucosa.
Mentions: Intraoral examination revealed a yellowish brown, irregularly shaped solid mass, appearing as calculus, measuring approximately 3.5 cm (mesiodistally)×4 cm (buccolingually), situated in the region of the right posterior mandibular teeth. The mass extended mesiodistally from the region of the second premolar to that of the third molar. Buccally, the vestibular space was encroached upon by the mass, causing tissue tags on the buccal mucosa at the occlusal level due to repeated cheek biting (Fig. 2). The right mandibular second premolar and the first, second, and third molars were clinically missing. An ulcer was observed on the buccal mucosa adjacent to the lesion, which was due to chronic irritation caused by the lesion that started bleeding upon manipulation. The patient was able to occlude his teeth properly. Upon palpation, we found that this lesion was bony hard, mobile, and nontender in nature. Based on the abovementioned clinical findings, a provisional diagnosis of fibro-osseous lesion, probably cemento-ossifying fibroma, was made, while odontoma, cementoblastoma, and osteoid osteoma were considered in the differential diagnoses.

Bottom Line: Odontomas are nonaggressive, hamartomatous developmental malformations composed of mature tooth substances and may be compound or complex depending on the extent of morphodifferentiation or on their resemblance to normal teeth.They are usually asymptomatic in nature.Occasionally, these tumors become large, causing bone expansion followed by facial asymmetry.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Medicine and Radiology, ITS Centre for Dental Studies and Research, Murad Nagar, Ghaziabad, Uttar Pradesh, India.

ABSTRACT
Odontomas are nonaggressive, hamartomatous developmental malformations composed of mature tooth substances and may be compound or complex depending on the extent of morphodifferentiation or on their resemblance to normal teeth. Among them, complex odontomas are relatively rare tumors. They are usually asymptomatic in nature. Occasionally, these tumors become large, causing bone expansion followed by facial asymmetry. Odontoma eruptions are uncommon, and thus far, very few cases of erupted complex odontomas have been reported in the literature. Here, we report the case of an unusually large, painless, complex odontoma located in the right posterior mandible.

No MeSH data available.


Related in: MedlinePlus