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复合性牙瘤的长期管理:四年随访后的成功种植修复

The Long-Term Management of a Compound Odontoma: Successful Implant Rehabilitation After a Four-Year Follow-Up.

作者信息

Cerci Akcay Hulya, Sir Eda, Tas Cagan, Akcay Cagri, Aktoren Oya

机构信息

Pediatric Dentistry, Kocaeli Health and Technology University, Kocaeli, TUR.

Dentistry, Kocaeli Health and Technology University, Kocaeli, TUR.

出版信息

Cureus. 2025 Apr 25;17(4):e82960. doi: 10.7759/cureus.82960. eCollection 2025 Apr.

Abstract

Odontomas are the most prevalent odontogenic tumors; these are often asymptomatic and detected incidentally during routine imaging. Despite their benign nature, they can interfere with normal tooth eruption and require timely surgical management. We present a case of a 15-year-old patient with a compound odontoma associated with an unerupted maxillary canine, leading to delayed dental development. Following surgical excision, the impacted canine failed to erupt spontaneously, necessitating a long-term follow-up approach. After four years, implant placement was performed to restore function and esthetics successfully. This report highlights the importance of individualized treatment planning in odontoma cases, particularly when spontaneous eruption fails to occur, and emphasizes the role of implant rehabilitation in optimizing long-term oral health outcomes.

摘要

牙瘤是最常见的牙源性肿瘤;这些肿瘤通常无症状,在常规影像学检查中偶然发现。尽管它们具有良性性质,但会干扰正常牙齿萌出,需要及时进行手术处理。我们报告一例15岁患者,患有与上颌未萌出尖牙相关的复合牙瘤,导致牙齿发育延迟。手术切除后,阻生尖牙未能自行萌出,需要长期随访观察。四年后,成功进行了种植体植入以恢复功能和美观。本报告强调了牙瘤病例个体化治疗计划的重要性,特别是在未能自发萌出的情况下,并强调了种植体修复在优化长期口腔健康结果中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5b3/12103715/2fa7ac86e685/cureus-0017-00000082960-i01.jpg

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