Alsharif Thikra O, Ibrahim Yasser, Aljohani Afnan S
General Dentistry, Umm Al-Qura University, Mecca, SAU.
Maxillofacial Surgery, Security Forces Hospital, Mecca, SAU.
Cureus. 2024 Nov 6;16(11):e73116. doi: 10.7759/cureus.73116. eCollection 2024 Nov.
Odontomas are the most prevalent odontogenic tumors, often classified as hamartomas due to their slow growth and non-aggressive nature. Typically asymptomatic, they can obstruct the eruption of adjacent teeth. While the exact causes of odontomas remain unclear, potential factors include local trauma, infection, growth pressure, and hereditary influences. Radiographically, they appear as well-defined radiopaque lesions surrounded by a radiolucent halo and are categorized into complex and compound types based on the arrangement of dental tissues. This case report aims to document the surgical removal of a compound odontoma in the lower right jaw of an 8-year-old girl, which obstructed the eruption of her lateral incisor, along with the subsequent full-mouth rehabilitation performed under general anesthesia. Diagnostic evaluations included oral and radiographic examinations such as orthopantomograms (OPG), periapical (PA), bitewing (BW), and computed tomography (CT) scans. The patient had no medical or family history of dental anomalies. This report highlights the management of a compound odontoma causing delayed eruption and impaction and demonstrates the effectiveness of full-mouth rehabilitation under general anesthesia in a pediatric setting. Early detection and removal of odontomas are crucial to preventing eruption issues and long-term complications, although recurrence may necessitate ongoing observation. The findings underscore the importance of early diagnosis and intervention in managing odontomas to mitigate adverse effects.
牙瘤是最常见的牙源性肿瘤，由于其生长缓慢且不具侵袭性，常被归类为错构瘤。它们通常无症状，但可能会阻碍相邻牙齿的萌出。虽然牙瘤的确切病因尚不清楚，但潜在因素包括局部创伤、感染、生长压力和遗传影响。在影像学上，它们表现为边界清晰的不透射线病变，周围有一条透射射线的晕圈，并根据牙组织的排列分为复杂型和复合型。本病例报告旨在记录一名8岁女孩右下颌复合型牙瘤的手术切除过程，该牙瘤阻碍了她侧切牙的萌出，以及随后在全身麻醉下进行的全口修复。诊断评估包括口腔和影像学检查，如全景片（OPG）、根尖片（PA）、咬合翼片（BW）和计算机断层扫描（CT）。患者无牙齿异常的病史或家族史。本报告强调了对导致萌出延迟和阻生的复合型牙瘤的处理，并展示了在儿科环境中全身麻醉下全口修复的有效性。早期发现和切除牙瘤对于预防萌出问题和长期并发症至关重要，尽管复发可能需要持续观察。这些发现强调了早期诊断和干预在牙瘤管理中减轻不良影响的重要性。
