Giant Complex Odontoma: A Case Report

Main Article Content

Keskanya Subbalekha, DDS, PhD
Jintana Tasanapanont, MD
Risa Chaisuparat, DDS, PhD

Abstract

An unusual case of a large complex odontoma associated with unerupted maxillary molar of a 16-year-old Thai female patient is reported. This patient had no symptoms apart from a non-remarkable swelling at the left upper jaw bone. The lesion was accidentally detected during a radiographic investigation prior to orthodontic treatment. Upon clinical examination, the left upper second and third molars were absent. She had a bony hard swelling on the buccal and palatal sides of the left maxillary region without tenderness. The overlying mucosa appeared normal. The radiographic study revealed a homogeneous radiopaque mass at the left maxilla involving the maxillary sinus with a displaced molar tooth. This lesion was surgically removed after the histopathologic report confirmed it to be an odontoma. The result of treatment was satisfactory at the following check-up. The details of the treatment of this odontogenic tumor, and the literature reviewed, are discussed.

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
Subbalekha K, Tasanapanont J, Chaisuparat R. Giant Complex Odontoma: A Case Report. BKK Med J [Internet]. 2015Feb.20 [cited 2020Sep.30];9(1):50. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/221064
Section
Case Report

References

1. Avelar RL, Primo BT, Pinheiro-Nogueira CB, et al. Worldwide incidence of odontogenic tumors. J Craniofac Surg 2011;22:2118-23.
2. Chang JY, Wang JT, Wang YP, et al. Odontoma: a clinico- pathologic study of 81 cases. J Formos Med Assoc 2003; 102:876-82.
3. Amado CS, Gargallo AJ, Berini AL, et al. Review of 61 cases of odontoma. Presentation of an erupted complex odontoma. Med Oral 2003;8:366-73.
4. Regezi JA. Odontogenic tumors. In: Regezi JA, Sciubba JJ, Jordan RC, editors. Oral Pathology: clinical pathologic correlations. 5th ed. St. Louis: Saunders Elsevier 2008:279.
5. Neville BW, Damm DD, Allen CM, et al. Odontogenic cysts and tumors. In: Neville BW, Damm DD, Allen CM, Bouquot JF, editors. Oral and maxillofacial pathology. 2nd ed. Philadelphia : WB Saunders 2002:631.
6. Hisatomi M, Asaumi JI, Konouchi H, et al. A case of complex odontoma associated with an impacted lower deciduous second molar and analysis of 107 odontomas. Oral Dis 2002;8:100-5.
7. Pippi R. Odontomas and Supernumerary Teeth: Is There a Common Origin? Int J Med Sci 2014;11:1282-97.
8. WHO histological classification of tumors of the oral cavity and oropharynx. (Accessed December 8, 2014 at http://screening.iarc.fr/atlasoralclassifwho2.php.).
9. Katz RW. An analysis of compound and complex odonto- mas. ASDC J Dent Child 1989;56:445-9.
10. Kaugars GE, Miller ME, Abbery LM. Odontoma. Oral Surg Oral Med Oral Pathol 1989;67:172-6.
11. Philipsen HP, Reichart PA, Praetorius F. Mixed odonto- genic tumours and odontomas. Considerations on interre- lationship.Review of the literature and presentation of 134 new cases of odontomas.Oral Oncol 1997;33:86-99.
12. Yassin OM. Delayed eruption of maxillary primary cuspid associated with compound odontoma. J Clin Pediatr Dent 1999;23:147-9.
13. Yeung KH, Cheung RCT, Tsang MMH. Compound odontoma associated with an unerupted and dilacerated maxillary primary central incisor in a young patient. Int J Paediatr Dent 2003;13:208-12.
14. Ozeç I, Kiliç E, Yeler H, et al. Large complex odontoma associated with a primary tooth. Quintessence Int 2007; 38:521-4.
15. Stafne EC, Gibilisco JA. Odontogenic tumors. In: Stafne EC, Gibilisco JA, editors. Odontogenic tumors. Oral roentgenographic diagnosis. 4th ed. Philadelphia: WB saunders 1975;178-81.
16. Singer SR, Mupparapu M, Milles M, et al. Unusually large complex odontoma in maxillary sinus associated with unerupted tooth. NYSDJ 2007;73:51-3.
17. Junquera L, de Vicente JC, Roig P, et al. Intraosseous odontoma erupted into the oral cavity: an unusual pathology. Med Oral Pathol Oral Cir Bucal 2005;10:248-51.
18. Mendelsohn DB, Hertzanu Y, Glass RB, et al. Giant complex odontoma of the maxillary antrum: A case report. S Afr Med J 1983;63:704-6.
19. Mupparapu M, Singer SR, Rinaggio J. Complex odontoma of unusual size involving the maxillary sinus: report of a case and review of CT and histopathologic features. Quintessence Int 2004;35:641-5.
20. Cabov T, Krmpotic M, Grgurevic J, et al. Large complex odontomaoftheleftmaxillarysinus. Wien Klin Wochenschr 2005;117:780-3.
21. Isler SC, Demircan S, Soluk M, et al. Radiologic evalu- ation of an unusually sized complex odontoma involving the maxillary sinus by cone beam computed tomography. Quintessence Int 2009;40:533-5.
22. Sotobori M, Marukawa K, Higuchi M, et al. An odontoma found in the wake of maxillary sinusitis onset. Case Rep Dent 2013;2013:834715.
23. Barros LD, Utumi ER, Pedron IG, et al. Complex odontoma: report of a five-year follow-up case. J Dent Child 2010;77:183-6.
24. Isler SC, Demircan S, Soluk M, et al. Radiologic evaluation of an unusually sized complex odontoma involving the maxillary sinus by cone beam computed tomography. Quintessence Int 2009;40:533-5.
25. Piattelli A, Perfetti G,Carraro A. Complex odontoma as a periapical and interradicular radiopacity in a deciduous molar. J Endod1996;22:561-3.