KOMPLEKS VE KOMPOUND ODONTOMA, 22 VAKA SUNUMU

Year 2022, Volume: 9 Issue: 3, 888 - 891, 26.12.2022

Gökhan Gürses , Aslı Ataseven , Ahmet Aktı , Abdullah Kalaycı , Ercan Durmuş

https://doi.org/10.15311/selcukdentj.1021396

Abstract

Amaç
Odontomalar çenelerde en sık görülen odontojenik kökenli iyi huylu tümörlerdir. Yavaş büyürler ve agresif davranış göstermezler. Genellikle asemptomatiktirler ve sıklıkla rutin radyografi sırasında bulunurlar. Kompleks ve kompaund odontoma olarak ikiye ayrılmaktadır. Bu vaka serisinde 8’i komplex 14'ü kompaund, toplam 22 odontoma vakasının cerrahi tedavisinin anlatılması amaçlanmıştır.
Olgular Sunumu
Yaş aralığı 10-34 arası olan 14’ü kadın 8’i erkek toplam 22 hasta, bölümümüzde gerekli klinik ve radyolojik muayenelerden sonra cerrahi olarak opere edilmiştir. Çıkarılan dokuların histopatalojilerinin, radyolojik ve klinik bulgularla değerlendirilmesi ile 8’inin komplex 14’ünün kompound odontoma olduğu tespit edilmiştir. Bazı vakalarda odontoma ile birlikte gömülü diş alınırken bazı vakalarda diş sürmesinin takibi amacıyla veya çene fraktürü riski sebebiyle etken gömülü dişler bırakılmıştır. İyileşme süresince hastalarda herhangi bir komplikasyon görülmemiştir.
Sonuç
Odontomalar genellikle asemptomatik görüldükleri için hastaların diş hekimlerine rutin kontrollere gelmeleri, erken teşhiste çok önemlidir. Erken teşhis ile morbidite ve maliyet azaltılabilir.

Keywords

odontoma, gömülü diş, odontojenik tümör

References

• KAYNAKLAR 1. Bordini J Jr, Contar CM, Sarot JR, Fernandes A, Machado MAN. Multiple compound odontomas in the jaw: case report and analysis of the literature. J Oral Maxillofac Surg. 2008 Dec;66(12):2617–20.
• 2. Santos LAN, Lopes LJ, Roque-Torres GD, Oliveira VF, Freitas DQ. Complex Odontoma: A Case Report with Micro-Computed Tomography Findings. Case Rep Dent. 2016 May 17;2016:3584751.
• 3. Ferreira PHSG, Ferreira S, Faverani LP, Ramalho-Ferreira G, del Pilar Rodriguez-Sanchez M, Ávila Souza F, et al. Compound Odontoma in a Pediatric Patient With Aspects Similar to Complex Odontoma. J Craniofac Surg. 2015 Jun;26(4):1429–31.
• 4. Currò M, Matarese G, Isola G, Caccamo D, Ventura VP, Cornelius C, et al. Differential expression of transglutaminase genes in patients with chronic periodontitis. Oral Dis. 2014 Sep;20(6):616–23.
• 5. de Oliveira BH, Campos V, Marçal S. Compound odontoma--diagnosis and treatment: three case reports. Pediatr Dent. 2001 Mar;23(2):151–7.
• 6. Serra-Serra G, Berini-Aytés L, Gay-Escoda C. Erupted odontomas: a report of three cases and review of the literature. Med Oral Patol Oral Cir Bucal. 2009 Jun 1;14(6):E299–303.
• 7. Nagaraj K, Upadhyay M, Yadav S. Impacted maxillary central incisor, canine, and second molar with 2 supernumerary teeth and an odontoma. Am J Orthod Dentofacial Orthop. 2009 Mar;135(3):390–9.
• 8. 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. J Oral Sci. 2010 Sep;52(3):439–47.
• 9. Lee BD, Lee W, Oh SH, Min SK, Kim EC. A case report of Gardner syndrome with hereditary widespread osteomatous jaw lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Mar;107(3):e68–72.
• 10. Kamel SG, Kau CH, Wong ME, Kennedy JW, English JD. The role of Cone beam CT in the evaluation and management of a family with Gardner’s syndrome. J Craniomaxillofac Surg. 2009 Dec;37(8):461–8.
• 11. Ali Azhar D, Kota MZ, El-Nagdy S. An unusual erupted complex composite odontoma: a rare case. Case Rep Dent. 2013 Jan 3;2013:106019.
• 12. Tomizawa M, Otsuka Y, Noda T. Clinical observations of odontomas in Japanese children: 39 cases including one recurrent case. Int J Paediatr Dent. 2005 Jan;15(1):37–43.
• 13. Soluk Tekkesin M, Pehlivan S, Olgac V, Aksakallı N, Alatli C. Clinical and histopathological investigation of odontomas: review of the literature and presentation of 160 cases. J Oral Maxillofac Surg. 2012 Jun;70(6):1358–61.
• 14. Conti G, Franchi L, Camporesi M, Defraia E. Treatment protocol for the impaction of deciduous maxillary anterior teeth due to compound odontoma. Eur J Paediatr Dent. 2012 Dec;13(4):337–41.
• 15. Karjodkar FR. Textbook of Dental and Maxillofacial Radiology. Jaypee Brothers,Medical Publishers Pvt. Limited; 2008. 992 p.
• 16. Mizutani K, Aoki A, Takasaki AA, Kinoshita A, Hayashi C, Oda S, et al. Periodontal tissue healing following flap surgery using an Er:YAG laser in dogs. Lasers Surg Med. 2006 Apr;38(4):314–24.
• 17. Amado Cuesta S, Gargallo Albiol J, Berini Aytés L, Gay Escoda C. Review of 61 cases of odontoma. Presentation of an erupted complex odontoma. Med Oral. 2003 Nov;8(5):366–73.
• 18. White SC, Pharoah MJ. Oral Radiology: Principles and Interpretation. Mosby Incorporated; 2004. 741 p.
• 19. Uma E. Compound Odontoma in Anterior Mandible-A Case Report. Malays J Med Sci. 2017 May;24(3):92–5.
• 20. Preoteasa CT, Preoteasa E. Compound odontoma - morphology, clinical findings and treatment. Case report. Rom J Morphol Embryol. 2018;59(3):997–1000.
• 21. Kämmerer PW, Schneider D, Schiegnitz E, Schneider S, Walter C, Frerich B, et al. Clinical parameter of odontoma with special emphasis on treatment of impacted teeth-a retrospective multicentre study and literature review. Clin Oral Investig. 2016 Sep;20(7):1827–35.
• 22. Preoteasa CT, NiŢoi DF, Preoteasa E. Microscopic morphological changes of the tooth surface in relation to fixed orthodontic treatment. Rom J Morphol Embryol. 2015;56(1):257–62.
• 23. Ando Y, Aoki A, Watanabe H, Ishikawa I. Bactericidal effect of erbium YAG laser on periodontopathic bacteria. Lasers Surg Med. 1996;19(2):190–200.
• 24. Martin-Duverneuil N, Roisin-Chausson MH, Behin A, Favre-Dauvergne E, Chiras J. Combined benign odontogenic tumors: CT and MR findings and histomorphologic evaluation. AJNR Am J Neuroradiol. 2001 May;22(5):867–72.
• 25. Chrcanovic BR, Jaeger F, Freire-Maia B. Two-stage surgical removal of large complex odontoma. Oral Maxillofac Surg. 2010 Dec;14(4):247–52.
• 26. Rumel A, de Freitas A, Birman EG, Tannous LA, Chacon PT, Borkas S. Erupted complex odontoma. Report of a case. Dentomaxillofac Radiol. 1980;9(1):5–9.