Diagnosis and Treatment of Odontoma : Two Cases Studies
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Abstract
Background: Odontomas are the most common benign odontogenic tumors worldwide and are frequently associated with the retained deciduous teeth interfering with the eruption of permanent teeth. As these are asymptomatic, they are often diagnosed during the routine dental examination. Early detection of these tumors is necessary to avoid long and more complicated treatments.
Methods: Case study design was conducted. The medical record was reviewed for clinical information, radiological investigations, pathological results, treatment, and follow-up.
Results: The present case study of a 22‑year‑old female was a typical case of compound odontoma in the maxillary anterior region associated with retained deciduous teeth, which also resulted in failure of eruption of the permanent maxillary right lateral incisor and canine. The another case study of a 9-year-old male child reported for a routine dental check-up. Further investigations revealed compound odontoma and unerupted mandibular left canine and premolar. They were similar to previous study cases from the literatures, in clinical, radiological and histological features. The surgical excision of the lesions were performed. In one case, orthodontic treatment was adopted in order to move and impacted permanent tooth to its normal position.
Conclusion: Odontoma is a benign odontogenic tumor. The tumor is commonly associated with eruption disturbances and malocclusion. The early diagnosis and treatment of odontomas allows the adoption of a less complex and expensive treatment and ensures better prognosis.
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