Boffano Paolo, Zavattero Emanuele, Roccia Fabio, Gallesio Cesare
Division of Maxillofacial Surgery, Headand Neck Department, San Giovanni Battista Hospital, University of Turin, Turin, Italy.
J Craniofac Surg. 2012 May;23(3):685-8. doi: 10.1097/SCS.0b013e31824dba1f.
This study aimed to analyze and discuss the demographic, clinical, and surgical aspects of 53 surgically treated odontomas and to review the literature.
A retrospective review was performed on all cases of treated odontomas in our center. A review of the recent literature about demographic aspects of odontomas was performed.
A total of 53 odontomas with a mean age of 35 years were surgically treated during the study period: 32 complex odontomas, 20 compound odontomas, and 1 immature odontoma. Compound odontomas occurred more often at the mandible with a predilection for the anterior region, whereas complex odontomas showed up more often in the posterior regions of the mandible. Odontomas most commonly occurred in patients in the second decade of life. The main presenting sign was the eruption failure of permanent teeth (44 cases), whereas 1 patient referred pain as the presenting symptom.
Odontomas are hamartomas not rarely encountered by oral and maxillofacial surgeons. Odontomas usually determine delayed eruption; thus, in case of any dentition anomaly or jaw deformation in children and adolescents, it is very important to investigate the presence of possible odontomas with radiographs.
本研究旨在分析和讨论53例接受手术治疗的牙瘤的人口统计学、临床和外科手术方面情况，并对相关文献进行综述。
对本中心所有接受治疗的牙瘤病例进行回顾性研究。对近期有关牙瘤人口统计学方面的文献进行综述。
在研究期间，共对53例平均年龄为35岁的牙瘤进行了手术治疗：32例复合性牙瘤、20例组合性牙瘤和1例未成熟牙瘤。组合性牙瘤在下颌骨更常见，尤其好发于前部区域，而复合性牙瘤更多出现在下颌骨后部区域。牙瘤最常见于20岁左右的患者。主要表现症状是恒牙萌出失败（44例），而1例患者以疼痛为首发症状。
牙瘤是口腔颌面外科医生并不少见的错构瘤。牙瘤通常导致萌出延迟；因此，对于儿童和青少年出现的任何牙列异常或颌骨畸形情况，通过X线片检查是否存在可能的牙瘤非常重要。
