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Surgical Management of Compound Odontoma Associated with Unerupted Tooth.

Pacifici A, Carbone D, Marini R, Pacifici L - Case Rep Dent (2015)

Bottom Line: In compound odontomas, all dental tissues are arranged in numerous tooth-like structures known as denticles.A case of a 20-year-old male patient with a compound odontoma-associated of impacted maxillary canine is presented.A minimally invasive surgical technique is adopted to remove the least amount of bone tissue as far as possible.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Via Caserta 6, 00161 Rome, Italy.

ABSTRACT
Odontomas represent the most common type of odontogenic benign jaws tumors among patients younger than 20 years of age. These tumors are composed of enamel, dentine, cementum, and pulp tissue. According to the World Health Organization classification, two distinct types of odontomas are acknowledged: complex and compound odontoma. In complex odontomas, all dental tissues are formed, but appeared without an organized structure. In compound odontomas, all dental tissues are arranged in numerous tooth-like structures known as denticles. Compound odontomas are often associated with impacted adjacent permanent teeth and their surgical removal represents the best therapeutic option. A case of a 20-year-old male patient with a compound odontoma-associated of impacted maxillary canine is presented. A minimally invasive surgical technique is adopted to remove the least amount of bone tissue as far as possible.

No MeSH data available.


Related in: MedlinePlus

Permanent canine extraction.
© Copyright Policy - open-access
Related In: Results  -  Collection


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fig5: Permanent canine extraction.

Mentions: In accordance with the patient and his orthodontist, surgical removal of the odontoma and the associated impacted canine was planned. The patient received a single dose of 2 g of amoxicillin and clavulanic acid 1 h before surgery. Surgery was performed under local anesthesia (2% mepivacaine with 1 : 100,000 epinephrine). A mucoperiosteal flap was etched and raised and bone was removed on vestibular side using a low-speed dental hand-drill and a tungsten carbide bur until the crown of the permanent impacted canine was exposed (Figure 4). After separation of the crown from the root using a high-speed dental hand-drill and a diamond bur, the tooth and its follicular sac were extracted (Figures 5(a) and 5(b)). The extraction of deciduous canine was also performed (Figure 6). A second flap was performed on the vestibular side for the extraction of single structures of the odontoma (Figure 7). The wound was carefully irrigated with physiological solution and cleaned with a sterile dressing; the flap was repositioned and sutured with 3.0 absorbable suture (Vicryl, Johnson & Johnson, Sint-Stevens-Woluwe, Belgium) (Figure 8).


Surgical Management of Compound Odontoma Associated with Unerupted Tooth.

Pacifici A, Carbone D, Marini R, Pacifici L - Case Rep Dent (2015)

Permanent canine extraction.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4496474&req=5

fig5: Permanent canine extraction.
Mentions: In accordance with the patient and his orthodontist, surgical removal of the odontoma and the associated impacted canine was planned. The patient received a single dose of 2 g of amoxicillin and clavulanic acid 1 h before surgery. Surgery was performed under local anesthesia (2% mepivacaine with 1 : 100,000 epinephrine). A mucoperiosteal flap was etched and raised and bone was removed on vestibular side using a low-speed dental hand-drill and a tungsten carbide bur until the crown of the permanent impacted canine was exposed (Figure 4). After separation of the crown from the root using a high-speed dental hand-drill and a diamond bur, the tooth and its follicular sac were extracted (Figures 5(a) and 5(b)). The extraction of deciduous canine was also performed (Figure 6). A second flap was performed on the vestibular side for the extraction of single structures of the odontoma (Figure 7). The wound was carefully irrigated with physiological solution and cleaned with a sterile dressing; the flap was repositioned and sutured with 3.0 absorbable suture (Vicryl, Johnson & Johnson, Sint-Stevens-Woluwe, Belgium) (Figure 8).

Bottom Line: In compound odontomas, all dental tissues are arranged in numerous tooth-like structures known as denticles.A case of a 20-year-old male patient with a compound odontoma-associated of impacted maxillary canine is presented.A minimally invasive surgical technique is adopted to remove the least amount of bone tissue as far as possible.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Via Caserta 6, 00161 Rome, Italy.

ABSTRACT
Odontomas represent the most common type of odontogenic benign jaws tumors among patients younger than 20 years of age. These tumors are composed of enamel, dentine, cementum, and pulp tissue. According to the World Health Organization classification, two distinct types of odontomas are acknowledged: complex and compound odontoma. In complex odontomas, all dental tissues are formed, but appeared without an organized structure. In compound odontomas, all dental tissues are arranged in numerous tooth-like structures known as denticles. Compound odontomas are often associated with impacted adjacent permanent teeth and their surgical removal represents the best therapeutic option. A case of a 20-year-old male patient with a compound odontoma-associated of impacted maxillary canine is presented. A minimally invasive surgical technique is adopted to remove the least amount of bone tissue as far as possible.

No MeSH data available.


Related in: MedlinePlus