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Evaluation of Unerupted Odontomas With Cone Beam Computed Tomography CBCT

Year 2016, Issue: 1, 36 - 42, 01.01.2016
https://doi.org/10.21306/jids.2016.1.20

Abstract

Aim: The objective of this study was to evaluate the clinical and radiographic features of unerupted odontomas of the jaws. Material and Method: A total of 23 odontomas detected in 21 patients were included in our study. The lesions diagnosed on panoramic radiographs were further evaluated with cone beam computed tomography CBCT . Patients’ age, gender, clinical symptoms, localization, type, presence of supernumerary tooth with odontoma, position buccal, palatinal, between teeth , distance to crown/root, distance to cortical plate, any complications due to odotoma or treatment method were evaluated. Results: Twenty-three odontomas were evaluated using CBCT. Fifteen lesions located in the maxilla whereas 8 lesions located in the mandible. The closest distance of the odontoma to the neighbouring crown/root varied between 0 to 4.5 mm with a mean of 1.3 mm. The closest distance of the odontoma to the buccal/palatal/lingual cortical layer varied between 0 to 4.6 mm with a mean of 1.8 mm. Associated impacted permanent teeth were left to erupt spontaneously or orthodontic traction was started at the same time or at a later stage. Seven of the impacted teeth were orthodontically tracked during surgery and 1 tooth was orthodontically tracked at a later stage. 2 teeth were extracted during surgery and 2 teeth were left to erupt spontaneously.Conclusion: Odontomas mostly located close to adjacent cortex; therefore, practitioners will not have difficulty in exploring the lesion. However; close proximity to associated tooth may result in tooth or root damage during surgical removal. We recommend CBCT evaluation for accurate surgical planning before removal of odontomas

References

  • 1. Soluk Tekkesin M, Tuna EB, Olgac V, Aksakallı N, Alatlı C. Odontogenic lesions in a pediatric population: Review of the literature and presentation of 745 cases. Int J Pediatr Otorhinolaryngol. 2016; 86: 196-199.
  • 2. Bereket C, Çakır-Özkan N, Şener İ, Bulut E, Tek M. Complex and compound odontomas: Analysis of 69 cases and a rare case of erupted compound odontoma. Niger J Clin Pract. 2015; 18: 726-730.
  • 3. Sun L, Sun Z, Ma X. Multiple complex odontoma of the maxilla and the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015; 120:e11-16.
  • 4. Girish G, Bavle RM, Singh MK, Prasad SN. Compound composite odontoma. J Oral Maxillofac Pathol. 2016; 20: 162.
  • 5. Khan N, Shrivastava N, Shrivastava TV, Samadi FM. An unusual case of compound odontome associated with maxillary impacted central incisor. Natl J Maxillofac Surg. 2014; 5: 192-194.
  • 6. Ragalli CC, Ferreria JL, Blasco F. Large erupting complex odontoma. Int J Oral Maxillofac Surg. 2000; 29: 373-374.
  • 7. Verma S, Arul AS, Arul AS, Chitra S. Erupted complex odontoma of the posterior maxilla: A rarity. J Nat Sci Biol Med. 2015; 6: 167-169.
  • 8. Sharma G, Nagra A, Singh G, Nagpal A, Soin A, Bhardwaj V. An Erupted Dilated Odontoma: A Rare Presentation. Case Rep Dent. 2016;2016:9750947.
  • 9. Can G, Şekerci AE, Ekizer A, Kara Ö. Sürmüş kompound odontoma: İki olgu sunumu. Turkiye Klinikleri J Dental Sci Cases 2015; 1: 126-130
  • 10. Bayram H, Aktaş A. Oral kaviteye perforasyon gösteren odontoma. Turkiye Klinikleri J Dental Sci 2014; 20: 57-61
  • 11. Çervatoğlu Ulusoy P, Aslantürk H, Erdem E. Mandibular odontomanın cerrahi olarak uzaklaştırılması. ADO Klinik Bilimler Dergisi 2011; 5: 1046-1051.
  • 12. Pacifici A, Carbone D, Marini R, Pacifici L. Surgical Management of Compound Odontoma Associated with Unerupted Tooth. Case Rep Dent. 2015; 902618.
  • 13. Nematolahi H, Abadi H, Mohammadzade Z, Soofiani Ghadim M. The use of cone beam computed tomography (CBCT) to determine supernumerary and ımpacted teeth position in pediatric patients: A case report. J Dent Res Dent Clin Dent Prospects. 2013; 7: 47-50.
  • 14. Kobayashi TY, Gurgel CV, Cota AL, Rios D, Machado MA, Oliveira TM. The usefulness of cone beam computed tomography for treatment of complex odontoma. Eur Arch Paediatr Dent. 2013; 14: 185-189.
  • 15. Singla S, Gupta S. Compound odontoma associated with impacted maxillary central incisor dictates a need to be vigilant to canine eruption pattern: A 2-year follow-up. Contemp Clin Dent 2016; 7: 273-276.
  • 16. Santos LA, Lopes LJ, Roque-Torres GD, Oliveira VF, Freitas DQ. Complex Odontoma: A Case Report with Micro-Computed Tomography Findings. Case Rep Dent. 2016;2016:3584751.
  • 17. Kiljunen T, Kaasalainen T, Suomalainen A, Kortesniemi M. Dental cone beam CT: A review. Phys Med 2015; 31: 844-860.

Sürmemiş Odontomaların Konik Işınlı Bilgisayarlı Tomografi CBCT İle İncelenmesi

Year 2016, Issue: 1, 36 - 42, 01.01.2016
https://doi.org/10.21306/jids.2016.1.20

Abstract

Amaç: Bu çalışmanın amacı çenelerde lokalize sürmemiş odontomaların klinik ve radyolojik özelliklerini değerlendirmektir.Gereç ve Yöntem: Çalışmamıza 21 hastada görülen toplam 23 odontoma dahil edildi. Panoramik radyografilerde teşhis edilen lezyonlar, daha sonra konik ışınlı bilgisayarlı tomografi CBCT ile detaylı olarak değerlendirildi. Hastanın yaşı, cinsiyeti, klinik belirtileri, lokalizasyon, lezyonun tipi, süpernümere diş bulunması, pozisyonu bukkal, palatinal, dişlerin arasında , kron/köke olan uzaklığı, kortikal kemiğe olan uzaklığı, odontoma varlığına veya tedavi metoduna bağlı gelişen komplikasyonlar değerlendirildi.diagnosed and treated at Istanbul Medipol University School of Dentistry.Bulgular: CBCT ile 23 odontoma değerlendirildi. On beş lezyonun maksillada, 8 lezyonun mandibulada lokalize olduğu tespit edildi. Odontomanın en yakın komşu kron/ köke olan uzaklığı 0-4.5mm arası ve ortalama 1.3mm olarak ölçüldü. Odontomanın en yakın bukkal/palatinal/lingual kortikal tabakaya uzaklığı 0-4.6mm ve ortalama 1.8mm olarak ölçüldü. İlişkili gömülü daimi diş spontan sürmeye bırakıldı veya operasyon sırasında ya da daha sonra ortodontik olarak sürdürüldü. Yedi gömülü diş cerrahi sırasında ve 1 diş daha sonra ortodontik olarak sürdürüldü. İki gömülü diş cerrahi sırasında çekildi ve 2 gömülü diş spontan olarak sürmeye bırakıldı.Sonuç: Odontomalar çoğunlukla kemiğin korteksine yakın yer alırlar ve böylece hekimler lezyona ulaşmada zorluk yaşamazlar. Ancak komşu dişe yakın olmaları cerrahi olarak çıkartılmaları sırasında diş veya kök hasarına yol açabilir. Doğru cerrahi planlama için odontomalar çıkarılmadan CBCT ile değerlendirme yapılmasını tavsiye ederiz

References

  • 1. Soluk Tekkesin M, Tuna EB, Olgac V, Aksakallı N, Alatlı C. Odontogenic lesions in a pediatric population: Review of the literature and presentation of 745 cases. Int J Pediatr Otorhinolaryngol. 2016; 86: 196-199.
  • 2. Bereket C, Çakır-Özkan N, Şener İ, Bulut E, Tek M. Complex and compound odontomas: Analysis of 69 cases and a rare case of erupted compound odontoma. Niger J Clin Pract. 2015; 18: 726-730.
  • 3. Sun L, Sun Z, Ma X. Multiple complex odontoma of the maxilla and the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015; 120:e11-16.
  • 4. Girish G, Bavle RM, Singh MK, Prasad SN. Compound composite odontoma. J Oral Maxillofac Pathol. 2016; 20: 162.
  • 5. Khan N, Shrivastava N, Shrivastava TV, Samadi FM. An unusual case of compound odontome associated with maxillary impacted central incisor. Natl J Maxillofac Surg. 2014; 5: 192-194.
  • 6. Ragalli CC, Ferreria JL, Blasco F. Large erupting complex odontoma. Int J Oral Maxillofac Surg. 2000; 29: 373-374.
  • 7. Verma S, Arul AS, Arul AS, Chitra S. Erupted complex odontoma of the posterior maxilla: A rarity. J Nat Sci Biol Med. 2015; 6: 167-169.
  • 8. Sharma G, Nagra A, Singh G, Nagpal A, Soin A, Bhardwaj V. An Erupted Dilated Odontoma: A Rare Presentation. Case Rep Dent. 2016;2016:9750947.
  • 9. Can G, Şekerci AE, Ekizer A, Kara Ö. Sürmüş kompound odontoma: İki olgu sunumu. Turkiye Klinikleri J Dental Sci Cases 2015; 1: 126-130
  • 10. Bayram H, Aktaş A. Oral kaviteye perforasyon gösteren odontoma. Turkiye Klinikleri J Dental Sci 2014; 20: 57-61
  • 11. Çervatoğlu Ulusoy P, Aslantürk H, Erdem E. Mandibular odontomanın cerrahi olarak uzaklaştırılması. ADO Klinik Bilimler Dergisi 2011; 5: 1046-1051.
  • 12. Pacifici A, Carbone D, Marini R, Pacifici L. Surgical Management of Compound Odontoma Associated with Unerupted Tooth. Case Rep Dent. 2015; 902618.
  • 13. Nematolahi H, Abadi H, Mohammadzade Z, Soofiani Ghadim M. The use of cone beam computed tomography (CBCT) to determine supernumerary and ımpacted teeth position in pediatric patients: A case report. J Dent Res Dent Clin Dent Prospects. 2013; 7: 47-50.
  • 14. Kobayashi TY, Gurgel CV, Cota AL, Rios D, Machado MA, Oliveira TM. The usefulness of cone beam computed tomography for treatment of complex odontoma. Eur Arch Paediatr Dent. 2013; 14: 185-189.
  • 15. Singla S, Gupta S. Compound odontoma associated with impacted maxillary central incisor dictates a need to be vigilant to canine eruption pattern: A 2-year follow-up. Contemp Clin Dent 2016; 7: 273-276.
  • 16. Santos LA, Lopes LJ, Roque-Torres GD, Oliveira VF, Freitas DQ. Complex Odontoma: A Case Report with Micro-Computed Tomography Findings. Case Rep Dent. 2016;2016:3584751.
  • 17. Kiljunen T, Kaasalainen T, Suomalainen A, Kortesniemi M. Dental cone beam CT: A review. Phys Med 2015; 31: 844-860.
There are 17 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Gökhan Gürler This is me

Çağrı Delilbaşı This is me

Kader Aydın This is me

Publication Date January 1, 2016
Published in Issue Year 2016 Issue: 1

Cite

APA Gürler, G., Delilbaşı, Ç., & Aydın, K. (2016). Evaluation of Unerupted Odontomas With Cone Beam Computed Tomography CBCT. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi)(1), 36-42. https://doi.org/10.21306/jids.2016.1.20
AMA Gürler G, Delilbaşı Ç, Aydın K. Evaluation of Unerupted Odontomas With Cone Beam Computed Tomography CBCT. J Int Dent Sci. January 2016;(1):36-42. doi:10.21306/jids.2016.1.20
Chicago Gürler, Gökhan, Çağrı Delilbaşı, and Kader Aydın. “Evaluation of Unerupted Odontomas With Cone Beam Computed Tomography CBCT”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi), no. 1 (January 2016): 36-42. https://doi.org/10.21306/jids.2016.1.20.
EndNote Gürler G, Delilbaşı Ç, Aydın K (January 1, 2016) Evaluation of Unerupted Odontomas With Cone Beam Computed Tomography CBCT. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 1 36–42.
IEEE G. Gürler, Ç. Delilbaşı, and K. Aydın, “Evaluation of Unerupted Odontomas With Cone Beam Computed Tomography CBCT”, J Int Dent Sci, no. 1, pp. 36–42, January 2016, doi: 10.21306/jids.2016.1.20.
ISNAD Gürler, Gökhan et al. “Evaluation of Unerupted Odontomas With Cone Beam Computed Tomography CBCT”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 1 (January 2016), 36-42. https://doi.org/10.21306/jids.2016.1.20.
JAMA Gürler G, Delilbaşı Ç, Aydın K. Evaluation of Unerupted Odontomas With Cone Beam Computed Tomography CBCT. J Int Dent Sci. 2016;:36–42.
MLA Gürler, Gökhan et al. “Evaluation of Unerupted Odontomas With Cone Beam Computed Tomography CBCT”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi), no. 1, 2016, pp. 36-42, doi:10.21306/jids.2016.1.20.
Vancouver Gürler G, Delilbaşı Ç, Aydın K. Evaluation of Unerupted Odontomas With Cone Beam Computed Tomography CBCT. J Int Dent Sci. 2016(1):36-42.

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