Department of Pedodontics and Preventive Dentistry, Sree Balaji Dental College and Hospital, Bharath University, Chennai, Tamil Nadu, India.
CRA Dental Clinic, Chennai, Tamil Nadu, India.
J Indian Soc Pedod Prev Dent. 2022 Apr-Jun;40(2):208-212. doi: 10.4103/jisppd.jisppd_148_22.
Odontomas are benign developmental tumors formed by the improper growth of completely differentiated epithelial and mesenchymal cells of odontogenic origin. The etiology of odontoma is unknown and it is detected during routine radiographic examination. The ideal management is early detection and surgical enucleation. The commonly associated clinical problems of odontomas are delayed exfoliation of primary teeth, delayed eruption or impaction of permanent teeth, displacement of teeth, root resorption, congenital missing, and widening of follicular space. Here, we describe a unique case of compound odontoma with a high number of denticles managed based on a definite decision support system over 8 years. An 8-year-old boy with 70 denticles in the left maxillary region underwent enucleation. On periodic follow-up, the associated impacted lateral incisor was extruded orthodontically.
牙瘤是由牙源性来源的完全分化的上皮和间充质细胞异常生长形成的良性发育性肿瘤。牙瘤的病因不明，是在常规放射检查中发现的。理想的治疗方法是早期发现和手术切除。牙瘤常见的相关临床问题有乳牙延迟脱落、恒牙延迟萌出或阻生、牙齿移位、牙根吸收、先天缺失和滤泡间隙增宽。在此，我们描述了一个独特的多发性牙瘤病例，该病例在 8 年的时间里基于明确的决策支持系统进行了治疗。一名 8 岁男孩的左侧上颌区域有 70 颗牙，接受了切除术。在定期随访中，相关的埋伏侧切牙通过正畸方法被挤出。
