Mazur Marta, Di Giorgio Gianni, Ndokaj Artnora, Jedliński Maciej, Corridore Denise, Marasca Beatrice, Salucci Alessandro, Polimeni Antonella, Ottolenghi Livia, Bossù Maurizio, Guerra Fabrizio
Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, Italy.
Department of Interdisciplinary Dentistry, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland.
Children (Basel). 2022 Oct 2;9(10):1509. doi: 10.3390/children9101509.
Compound odontoma is a malformation typical of young adults below the age of 20, with a slight preference for the male gender and the anterior region of the maxilla. Clinically asymptomatic, it can be detected during a radiological investigation in connection with the persistence of deciduous dental elements and the impaction of definitive ones. The treatment of choice is excisional surgery and recurrence is a rare event. The need for orthodontic therapy for impacted elements is usually not necessary because in most cases, odontomas are small, circumscribed lesions the size of a permanent tooth. In this article, the diagnostic and therapeutic surgical excision procedure is presented in three patients at developmental age with large compound odontomas associated with at least one retained canine, and in two of the cases, with serious transmigration to the impacted tooth elements.
复合性牙瘤是20岁以下年轻人典型的一种畸形，稍多见于男性以及上颌前部区域。临床上无症状，可在影像学检查中因乳牙滞留和恒牙阻生而被发现。首选治疗方法是切除手术，复发罕见。通常不需要对阻生牙进行正畸治疗，因为在大多数情况下，牙瘤是小的、边界清楚的病变，大小如一颗恒牙。本文介绍了3例发育年龄患者的诊断及治疗性手术切除过程，这些患者患有大型复合性牙瘤，至少伴有一颗滞留犬齿，其中2例还伴有阻生牙严重异位。
