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揭开复合性复合牙瘤的奥秘:来自一例罕见病例管理的见解

Unveiling the Mysteries of a Composite Compound Odontoma: Insights From the Management of a Rare Entity.

作者信息

Gupta Aakash, Singh Tarun Kumar, Johnson Ashish J, Showkat Rukhsar

机构信息

Conservative Dentistry and Endodontics, All India Institute of Medical Sciences, Bathinda, Bathinda, IND.

Dentistry, All India Institute of Medical Sciences, Bathinda, Bathinda, IND.

出版信息

Cureus. 2024 Jan 23;16(1):e52785. doi: 10.7759/cureus.52785. eCollection 2024 Jan.

Abstract

Odontomas are one of the slow-growing odontogenic tumors. They are not a true neoplasm and are considered to be hamartoma. Odontomas consist of four distinct tissues, i.e., enamel, dentin, pulp, and cementum. Odontomas develop from fibroepithelial and undifferentiated mesenchymal cells which are essential for the development of the tooth. These are mostly asymptomatic and are incidentally detected on routine radiographic examination. This case report presents a unique case of a composite compound odontoma in an adult patient with flaring of teeth. A 28-year-old male patient reported to the Department of Dentistry for the correction of spacing in the upper front tooth region. Prompt diagnosis and management, including odontoma removal and aesthetic correction, were initiated. This case highlights the possibility of the presence of malformed tooth-like structures associated with flaring of teeth. It also focuses on the need for increased vigilance in individuals undergoing aesthetic correction procedures in the anterior maxillary region.

摘要

牙瘤是生长缓慢的牙源性肿瘤之一。它们并非真正的肿瘤,而是被视为错构瘤。牙瘤由四种不同组织构成,即釉质、牙本质、牙髓和牙骨质。牙瘤由对牙齿发育至关重要的纤维上皮细胞和未分化间充质细胞发育而来。这些肿瘤大多无症状,常在常规影像学检查时偶然发现。本病例报告呈现了一例成年患者患有复合性牙瘤且伴有牙齿唇向散开的独特病例。一名28岁男性患者因上前牙区间隙矫正到牙科就诊。随即展开了包括牙瘤切除和美学矫正在内的快速诊断与治疗。该病例凸显了存在与牙齿唇向散开相关的畸形牙样结构的可能性。它还强调了对上颌前部区域接受美学矫正手术的个体提高警惕的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5681/10882953/01d55ff14367/cureus-0016-00000052785-i01.jpg

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