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上颌前部萌出型复合性牙瘤的罕见表现:一例报告。

An uncommon presentation of an erupted compound odontoma in the anterior maxilla: A case report.

作者信息

Mirzania Narges, Hosseinzadeh Mehdi, Rahimipour Elaheh, Mohammadpour Mahsa

机构信息

Department of Oral and Maxillofacial Radiology, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Radiol Case Rep. 2025 May 24;20(8):4001-4003. doi: 10.1016/j.radcr.2025.04.098. eCollection 2025 Aug.

Abstract

Odontomas are the most common benign odontogenic tumors, classified into compound (tooth-like structures) and complex (amorphous dental tissue) subtypes. While typically asymptomatic, erupting odontomas are rare and can cause diagnostic and management challenges. This case involves a 15-year-old male with an erupted compound odontoma in the maxillary anterior region, presenting primarily with aesthetic concerns. Clinical and CBCT evaluations confirmed the diagnosis, and surgical excision followed by histopathological analysis revealed the characteristic features of a compound odontoma. The rarity of erupting odontomas underscores the importance of thorough diagnostic evaluations, including CBCT imaging, which aids in distinguishing them from other odontogenic lesions. A multidisciplinary approach involving oral surgery and orthodontics is essential for optimal functional and aesthetic outcomes. Although the exact etiology remains unclear, early diagnosis and intervention are crucial to preventing complications. This case highlights the need for increased awareness and further research into the mechanisms underlying this rare phenomenon.

摘要

牙瘤是最常见的良性牙源性肿瘤,分为复合性(牙样结构)和复杂性(无定形牙组织)亚型。虽然通常无症状,但萌出性牙瘤罕见,可导致诊断和治疗挑战。本病例涉及一名15岁男性,上颌前部有一颗萌出的复合性牙瘤,主要表现为美观问题。临床和CBCT评估确诊后,手术切除并进行组织病理学分析,显示出复合性牙瘤的特征。萌出性牙瘤的罕见性凸显了全面诊断评估的重要性,包括CBCT成像,这有助于将它们与其他牙源性病变区分开来。涉及口腔外科和正畸的多学科方法对于实现最佳功能和美观效果至关重要。尽管确切病因尚不清楚,但早期诊断和干预对于预防并发症至关重要。本病例强调了提高认识以及对这一罕见现象背后机制进行进一步研究的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bafb/12151152/cb65c1e88ebf/gr1.jpg

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