MANDİBULADA BÜYÜK KOMPLEKS ODONTOMA: VAKA RAPORU

Abstract

Purpose: Odontomas are benign odontogenic tumors of the jaws and constitutes about 22% of all odontogenic tumors. Odontomas are divided into two subtypes, complex odontoma and compound odontoma, with differences in their macroscopic and microscopic features. Compound odontomas are encountered mostly in the anterior maxilla, whereas complex odontomas are often seen in the posterior mandible. The aim of this case report was to present surgical removal of a complex odontoma associated with second and third molar and inferior alveolar nerve. Material Method: 21 year-old-male patient was referred our department with a large complex odontoma which is seated in the left mandibular molar region and associated with impacted third and second molar and inferior alveolar nerve. Impacted teeth and complex odontoma was removed surgically. Results: There was no complication or numbness postoperatively. Conclusion: Complex odontomas are benign odontogenic tumors and recurrence is unusual

Keywords

• Odontogenic tumor, treatment

LARGE COMPLEX ODONTOMA IN MANDIBLE: A CASE REPORT

Abstract

Amaç: Odontomalar, tüm odontojenik tümörlerin ortalama %22’sini oluşturan çenelerin benign odontojenik tümörleridir. Odontomalar mikroskopik ve makroskopik özelliklerine göre kompleks ve kompound olmak üzere iki gruba ayrılırlar. Kompound odontomalar genellikle anterior maksillada görülmesine rağmen kompleks odontomalar genellikle posterior mandibulada görülürler. Bu vaka raporunun amacı, ikinci ve üçüncü molar ve inferior alveolar sinirle ilişkili kompleks odontomanın cerrahi olarak çıkartılmasını sunmaktır. Gereç ve Yöntem: Mandibular molar bölgede gömülü ikinci ve üçüncü molar dişle ve inferior alveolar sinirle ilişkili büyük kompleks odontoma bulunan 21 yaşında erkek hasta kliniğimize başvurdu. Gömülü dişler ve kompleks odontoma cerrahi olarak çıkartıldı. Bulgular: Postoperatif olarak herhangi bir komplikasyonla veya uyuşuklukla karşılaşılmadı. Sonuç: Kompleks odontomalar benign odontojenik tümörlerdir ve genellikle nüks görülmez.

Keywords

• Odontojenik tümör, tedavi

References

1. Troeltzsch M, Liedtke J, Troeltzsch V, Frankenberger R, Steiner T. Odontoma-associated tooth impaction: accurate diagnosis with simple methods? Case report and literature review. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons 2012;70:e516-20.
2. Ertaş Ü, Yavuz MS. Kompound odontoma (Bir vaka raporu). Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 2003;13;99-101.
3. Neville BW, Damm DD, Allen CM, Bouquot JE. Odontogenic cysts and tumors. Oral and Maxillofacial Pathology, Noida, Saunders. Elsevier Publications 2009;3:683-7.
4. Soluk Tekkesin M, Pehlivan S, Olgac V, Aksakallı N, Alatlı C. Clinical and histopathological investigation of odontomas: review of the literature and presentation of 160 cases. Journal of Oral and Maxillofacial Surgery 2012;70:1358-61.
5. Regezi JA, Sciubba JJ, Jordan RC. Oral pathology: clinical pathologic correlations: Elsevier Health Sciences; 2012;11;289.
6. Iatrou I, Vardas E, Theologie-Lygidakis N, Leventis M. A retrospective analysis of the characteristics, treatment and follow-up of 26 odontomas in Greek children. Journal of oral science 2010;52:439-47.
7. Garcia-Consuegra L, Junquera LM, Albertos JM, Rodriguez. Odontomas. A clinical-histological and retrospective epidemiological study of 46 cases. Med Oral 2000;5:367-72.
8. An SY, An CH, Choi KS. Odontoma: a retrospective study of 73 cases. Imaging Sci Dent 2012;42:77- 81.

9. Serra-Serra G, Berini-Aytes L, Gay-Escoda C. Erupted odontomas: a report of three cases and review of the literature. Med Oral Patol Oral Cir Bucal 2009;14:299-303.
10. Cawson RA, Odell EW. Cawson's essentials of oral pathology and oral medicine: Elsevier Health Sciences; 2008,8th ed, 152.
11. Curreri RC, Messer EJ, Abramson AL. Complex odontoma of the maxillary sinus: report of case. J Oral Surg 1975;33:45-8.
12. Slootweg PJ. An analysis of the interrelationship of the mixed odontogenic tumors--ameloblastic fibroma, ameloblastic fibro-odontoma, and the odontomas. Oral Surg Oral Med Oral Pathol 1981;51:266-76.
13. Rumel A, de Freitas A, Birman EG, Tannous LA, Chacon PT, Borkas S.. Erupted complex odontoma. Report of a case. Dentomaxillofac Radiol 1980;9:5-9.
14. Ohtawa Y, Ichinohe S, Kimura E, Hashimoto S. Erupted complex odontoma delayed eruption of permanent molar. Bull Tokyo Dent Coll 2013;54:251-7.
15. Gomel M, Seckin T. An erupted odontoma: case report. J Oral Maxillofac Surg 1989;47:999-1000.
16. Tozoglu S, Yildirim U, Buyukkurt MC. An erupted complex odontoma. N Y State Dent J 2010;76:52- 3.
17. Vengal M, Arora H, Ghosh S, Pai KM. Large erupting complex odontoma: a case report. J Can Dent Assoc 2007;73:169-73.
18. Junquera L, de Vicente JC, Roig P, Olay S, Rodriguez-Recio O. Intraosseous odontoma erupted into the oral cavity: an unusual pathology. Medicina oral, patologia oral y cirugia bucal 2005;10:248-51.