Doctoral Program in Morphological Sciences, Faculty of Medicine, Universidad de La Frontera, Temuco 4780000, Chile.
Undergraduate Research Group in Dentistry (GIPO), Faculty of Health Sciences, Universidad Autónoma de Chile, Temuco 4780000, Chile.
Medicina (Kaunas). 2024 Jul 31;60(8):1248. doi: 10.3390/medicina60081248.
Odontomas are benign tumors characterized by slow and limited growth with a rare recurrence. Odontomas are generally detected by radiographic findings in the radiopaque stage, where calcification of the tissues is observed. This article seeks to report the recurrence of a radiologically diagnosed odontoma to show the importance of radiographic controls after enucleation as a diagnostic and follow-up method. Case report: A female patient, 9 years old, attended dental care in 2020 due to malpositioned teeth. In the intraoral clinical examination, she presented stage II mixed dentition with crowding. A radiographic exam showed no associated lesions. The patient reported a history of odontoma removal and a supernumerary tooth in sextant II in 2016. Subsequently, she was referred to orthodontics, where permanent dentition with moderate anterior crowding in the maxilla and mandible was observed. The radiographic examination showed a radiopaque area compatible with odontoma, palatal to teeth 12 and 13. Conclusions: Although recurrence is rare, complete removal in the case of an odontoma is critical. This study demonstrates the importance of performing radiographic controls 5 years after enucleation of an odontoma, considering the stages of evolution.
牙瘤是一种良性肿瘤，其生长缓慢且有限，复发罕见。牙瘤通常在放射学上表现为不透射线阶段，此时可观察到组织钙化。本文旨在报告一例经放射学诊断的牙瘤复发，以说明在牙瘤摘除术后进行放射学检查作为诊断和随访方法的重要性。病例报告：一名 9 岁女性患者因牙齿错位于 2020 年就诊于牙科。口腔临床检查显示 II 期混合牙列拥挤。放射学检查未发现相关病变。患者报告称，2016 年曾行牙瘤切除术和 II 区额外牙切除术。随后，她被转诊至正畸科，发现上颌和下颌的恒牙列存在中度前牙拥挤。放射学检查显示 12 和 13 牙腭侧有一个与牙瘤一致的不透射线区域。结论：尽管牙瘤复发罕见，但彻底切除是至关重要的。本研究表明，考虑到牙瘤的演变阶段，在牙瘤摘除术后 5 年进行放射学检查非常重要。
