Department of Oral and Maxillofacial Surgery, Lagos University Teaching Hospital, Lagos, Nigeria.
Department of Pediatric Dentistry, Child Dental Health, Lagos University Teaching Hospital, Lagos, Nigeria.
West Afr J Med. 2021 Sep 30;38(9):903-906.
Odontomas are the most common odontogenic tumors worldwide and are usually chance findings seen on routine dental examinations. However, on progression, they may be associated with adjacent tooth displacement.
We report a case of an 11-year-old girl who presented at the Lagos University Teaching Hospital (LUTH) pediatric dental clinic with a complaint of painless enlargement of the left anterior maxilla of 2-years duration. The swelling was located between teeth 21 and 22 and was associated with distal displacement and mesial angulation of tooth 22. Clinical, radiographic and histopathologic investigations revealed a compound odontoma. Surgical exposure and enucleation was done to remove the tumor. The patient's postoperative course and 6 months follow-up were uneventful.
This report elucidates the importance of routine dental check-ups and minimally traumatic management of odontomas in pediatric dental patients to prevent adverse effects of odontomas, thereby, minimizing the interventions needed after surgical enucleation.
牙瘤是全球最常见的牙源性肿瘤,通常在常规牙科检查中偶然发现。然而,随着肿瘤的发展,它们可能与相邻牙齿的移位有关。
我们报告了一例 11 岁女孩的病例,她因左侧上颌前牙无痛性肿大 2 年而到拉各斯大学教学医院(LUTH)儿科牙科诊所就诊。肿胀位于 21 号和 22 号牙之间,与 22 号牙的远中移位和近中倾斜有关。临床、影像学和组织病理学检查显示为复合性牙瘤。为了切除肿瘤,进行了手术暴露和剜除。患者术后恢复顺利,6 个月随访无异常。
本报告阐明了在儿科牙科患者中进行常规牙科检查和微创性牙瘤管理的重要性,以预防牙瘤的不良影响,从而最大限度地减少手术后剜除所需的干预。