Alharthi Sharifah A, Althobaiti Fahad A, Ibrahim Yasser M, Alansari Hassan O, Alhothali Marwa M
General Dentistry, Umm Al-Qura University, Mecca, SAU.
Family Dentistry, Security Forces Hospital, Mecca, SAU.
Cureus. 2024 Oct 2;16(10):e70729. doi: 10.7759/cureus.70729. eCollection 2024 Oct.
Odontomas are the most common type of benign odontogenic tumors, representing around 70% of all odontogenic tumors of the jaws. Odontoma is typically present in the first and second decades of life. Morphologically, compound odontomas appear as deposited dental tissues in a pattern that makes a tooth-like structure. Compound odontomas can occur in any area of the jaws; however, the anterior maxilla is the most common location of compound odontomas. In the current report, we aimed to remove the tumor surgically to avoid unwanted consequences of odontomas, such as eruption disturbance, root resorption, tooth malalignment, and cortical bone expansion. An 11-year-old female patient presented to the pediatric dental clinic in Security Forces Hospital, Makkah, Saudi Arabia, complaining of multiple carious teeth. A routine panoramic radiograph showed a well-defined radiopaque mass surrounded by a thin halo in the right maxillary anterior region. This mass comprised multiple small, tooth-like structures. Upon pulpation, a palatal bulge was detected on the right side of the anterior part of maxilla. Since the patient showed anxious dental behavior and needed comprehensive dental treatment, she was scheduled for surgical removal of the mass under general anesthesia. Tiny tooth-like structures were removed and sent to the histopathological examination to confirm the diagnosis. Follow-up appointments for the patients were scheduled to be after two weeks, one month, and six months. In conclusion, this case highlights the importance of early diagnosis and prompt surgical intervention in managing compound odontomas to avoid the unwanted consequences of the tumor.
牙瘤是最常见的良性牙源性肿瘤类型,约占颌骨所有牙源性肿瘤的70%。牙瘤通常出现在生命的第一个和第二个十年。形态学上,复合性牙瘤表现为沉积的牙组织形成类似牙齿的结构。复合性牙瘤可发生于颌骨的任何部位;然而,上颌前部是复合性牙瘤最常见的部位。在本报告中,我们旨在通过手术切除肿瘤,以避免牙瘤的不良后果,如萌出障碍、牙根吸收、牙齿排列不齐和皮质骨扩张。一名11岁女性患者前往沙特阿拉伯麦加安全部队医院的儿科牙科诊所就诊,主诉有多颗龋齿。一张常规全景X线片显示右上颌前部有一个边界清晰的不透光肿块,周围有一圈薄光晕。这个肿块由多个小的、类似牙齿的结构组成。触诊时,在上颌前部右侧发现腭部隆起。由于患者表现出焦虑的牙科行为且需要全面的牙科治疗,她被安排在全身麻醉下手术切除肿块。微小的类似牙齿的结构被切除并送去进行组织病理学检查以确诊。患者的随访预约安排在术后两周、一个月和六个月。总之,本病例强调了早期诊断和及时手术干预在处理复合性牙瘤以避免肿瘤不良后果方面的重要性。