Althobaiti Fouad H, Almalki Thekra A, Alharthi Hussam I, Alzahrani Muaath H, El Meligy Omar A
Pediatric Dentistry, Ministry of Health, Taif Specialized Dental Center, Taif, SAU.
General Dentistry, Taif University, Taif, SAU.
Cureus. 2025 Jan 10;17(1):e77241. doi: 10.7759/cureus.77241. eCollection 2025 Jan.
Odontomas represent the most common odontogenic tumors, typically asymptomatic and often identified incidentally during routine radiographic assessments. Although generally benign, they can impede the normal eruption of teeth. Compound odontomas, in particular, are composed of tooth-like structures and may obstruct the eruption of permanent teeth, necessitating intervention. This case report details the clinical management of a compound odontoma in an eight-year-old Saudi patient, who presented with an asymptomatic, hard swelling between the maxillary primary central incisor and canine. Clinical and radiographic evaluations revealed a radiopaque mass consistent with a compound odontoma, resulting in delayed eruption of the primary central and lateral incisors. The patient underwent surgical excision of the odontoma under general anesthesia. Careful dissection allowed the preservation of adjacent primary teeth, minimizing disruption to the dental arch and ensuring sufficient space for the normal eruption of permanent teeth. Histopathological examination confirmed the diagnosis of compound odontoma, with characteristic enamel and dentin-like structures. Postoperative recovery was uneventful, and the patient was closely monitored to observe the progression of the erupting permanent teeth. Timely identification and surgical treatment of compound odontomas are crucial to avoiding complications related to delayed tooth eruption. In this instance, the surgical removal of a compound odontoma in an eight-year-old patient preserved neighboring teeth and supported the natural eruption of permanent dentition. Regular radiographic evaluations played a key role in achieving an early diagnosis, allowing for prompt treatment and favorable oral health outcomes in pediatric care.
牙瘤是最常见的牙源性肿瘤，通常无症状，常在常规影像学检查时偶然发现。虽然一般为良性，但它们可能会阻碍牙齿的正常萌出。特别是复合性牙瘤，由牙样结构组成，可能会阻碍恒牙萌出，因此需要进行干预。本病例报告详细介绍了一名8岁沙特患者的复合性牙瘤的临床治疗情况，该患者上颌乳中切牙和尖牙之间出现无症状的硬性肿胀。临床和影像学评估显示一个不透光的肿块，与复合性牙瘤相符，导致乳中切牙和侧切牙萌出延迟。患者在全身麻醉下接受了牙瘤的手术切除。仔细解剖得以保留相邻的乳牙，尽量减少对牙弓的破坏，并确保恒牙正常萌出有足够的空间。组织病理学检查证实为复合性牙瘤，具有典型的釉质和牙本质样结构。术后恢复顺利，对患者进行密切监测以观察正在萌出的恒牙的进展情况。及时识别和手术治疗复合性牙瘤对于避免与牙齿萌出延迟相关的并发症至关重要。在这个病例中，对一名8岁患者的复合性牙瘤进行手术切除保留了相邻牙齿，并支持恒牙列的自然萌出。定期影像学评估在早期诊断中发挥了关键作用，使得在儿科护理中能够及时治疗并取得良好的口腔健康结果。
