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一例在常规影像学检查中偶然发现的由156个牙小体组成的无症状复合性牙瘤病例报告

A Fortuitous Finding of Asymptomatic Compound Odontoma Consisting of 156 Denticles on a Routine Radiographic Examination: A Case Report.

作者信息

Chiranjeevi Seethalakshmi, Prabhuraj Sri Neeraja

机构信息

Department of Oral Medicine and Radiology, Sree Balaji Dental College and Hospital, Chennai, Tamil Nadu, India.

出版信息

Int J Clin Pediatr Dent. 2024 Jun;17(6):723-727. doi: 10.5005/jp-journals-10005-2913.

DOI:10.5005/jp-journals-10005-2913
PMID:39391136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11463811/
Abstract

UNLABELLED

Odontomas are the most common odontogenic tumors and are classified into compound and complex types. They result from a combination of odontogenic epithelium and ectomesenchyme. Complex odontomas frequently occur in the posterior mandible, whereas compound odontomas are more commonly found in the anterior region of the maxilla. Due to their small size and asymptomatic nature, odontomas are often diagnosed incidentally. Typically, odontomas are <3 cm in diameter; those exceeding this size are classified as giant odontomas and may present with extraoral swelling. This case report documents an unusual instance of a giant compound odontoma, containing 156 denticles, in a 15-year-old girl. Despite the odontoma's large size in the mandibular anterior region-an uncommon site for compound odontomas-the patient was completely asymptomatic and presented with only intermittent pain in the lower right back tooth region over the past month. The denticles were extracted, and intentional root canal treatment was performed on teeth 41, 42, 31, and 32 under general anesthesia.

HOW TO CITE THIS ARTICLE

Chiranjeevi S, Prabhuraj SN. A Fortuitous Finding of Asymptomatic Compound Odontoma Consisting of 156 Denticles on a Routine Radiographic Examination: A Case Report. Int J Clin Pediatr Dent 2024;17(6):723-727.

摘要

未标注

牙瘤是最常见的牙源性肿瘤，分为组合型和复杂型。它们由牙源性上皮和外胚间充质组合而成。复杂牙瘤常发生于下颌骨后部，而组合牙瘤更常见于上颌骨前部。由于其体积小且无症状，牙瘤常为偶然发现。通常，牙瘤直径<3 cm；超过此大小的被归类为巨大牙瘤，可能出现口外肿胀。本病例报告记录了一名15岁女孩发生的罕见巨大组合牙瘤，含有156个牙小体。尽管该牙瘤在下颌前部区域体积巨大——组合牙瘤的罕见部位——但患者完全无症状，仅在过去一个月右下后牙区域有间歇性疼痛。取出牙小体，并在全身麻醉下对41、42、31和32号牙进行了根管治疗。

如何引用本文

Chiranjeevi S, Prabhuraj SN. 常规影像学检查偶然发现无症状的含156个牙小体的组合牙瘤：病例报告。《国际临床儿科牙科学杂志》2024；17(6):723 - 727。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d03/11463811/e90194a2a684/ijcpd-17-6-723-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d03/11463811/02dda6f90705/ijcpd-17-6-723-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d03/11463811/c7584466c5c9/ijcpd-17-6-723-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d03/11463811/0eacb3e103c9/ijcpd-17-6-723-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d03/11463811/92c44e98e9a5/ijcpd-17-6-723-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d03/11463811/f2e6cd1c60c6/ijcpd-17-6-723-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d03/11463811/670fc63e4ef3/ijcpd-17-6-723-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d03/11463811/59ede33654fb/ijcpd-17-6-723-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d03/11463811/81289ec24dd8/ijcpd-17-6-723-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d03/11463811/e90194a2a684/ijcpd-17-6-723-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d03/11463811/02dda6f90705/ijcpd-17-6-723-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d03/11463811/c7584466c5c9/ijcpd-17-6-723-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d03/11463811/0eacb3e103c9/ijcpd-17-6-723-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d03/11463811/92c44e98e9a5/ijcpd-17-6-723-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d03/11463811/f2e6cd1c60c6/ijcpd-17-6-723-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d03/11463811/670fc63e4ef3/ijcpd-17-6-723-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d03/11463811/59ede33654fb/ijcpd-17-6-723-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d03/11463811/81289ec24dd8/ijcpd-17-6-723-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d03/11463811/e90194a2a684/ijcpd-17-6-723-g009.jpg

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本文引用的文献

1
Bilateral Massive Complex Composite Odontoma of the Mandible: A Rare Case Report.下颌骨双侧巨大复杂复合性牙瘤：一例罕见病例报告
Ann Maxillofac Surg. 2022 Jan-Jun;12(1):87-90. doi: 10.4103/ams.ams_245_21. Epub 2022 May 4.
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Management of compound odontoma with 70 denticles and impacted lateral incisor over an 8-year follow-up.70 个齿状结构的复合型牙瘤伴侧切牙埋伏阻生的 8 年随访管理。
J Indian Soc Pedod Prev Dent. 2022 Apr-Jun;40(2):208-212. doi: 10.4103/jisppd.jisppd_148_22.
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Compound Odontome: A Case Report.复合性牙瘤：一例报告
Int J Clin Pediatr Dent. 2019 Jan-Feb;12(1):64-67. doi: 10.5005/jp-journals-10005-1575.
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Compound Odontoma in Anterior Mandible-A Case Report.下颌前部复合性牙瘤——病例报告
Malays J Med Sci. 2017 May;24(3):92-95. doi: 10.21315/mjms2017.24.3.11. Epub 2017 Jun 30.
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Med Oral Patol Oral Cir Bucal. 2008 Nov 1;13(11):E730-4.
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Compound odontoma--diagnosis and treatment: three case reports.复合性牙瘤——诊断与治疗：三例病例报告
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