Complex Odontoma: A Case Report

Yıl 2019, Cilt: 5 Sayı: 2, 45 - 48, 29.08.2019

Fatmanur Ketenci Rüştü Gedik Ömer Fahrettin Göze Göze

Öz

Odontomas are the most common of the odontogenic tumors of the jaws. They are usually discovered on routine radiographical examinations during the second and third decades of life. They are characterized by their slow growth and no aggressive behavior. Based on radiographic and microscopic characteristic, odontomas are subdivided into compound and complex types. The compuond odontoma forms multiple irregular tooth like structures. The complex type is characterized by dental tissues in a disorderly pattern without any anatomic resemblance to a tooth. The exact a etiology is not well known, however, local trauma, infections and genetic factors have been suggested. Complex odontomas rarely erupt into the mouth. Despite their asymptomatic nature, their eruption into the oral cavity can give rise to pain, inflammation, infection and ulceration. Additionally large odontomas can cause cortical expansion, facial asymmetry and traumatic ulcers. Odontomas are treated by simple local excision. The purpose of this report is to present a case of complex odontoma in a 16 year old male patient.

Anahtar Kelimeler

odontoma, complex odontoma, case report, cone beam computed tomography, panaromic radiography

Kompleks Odontoma: Bir Olgu Sunumu

Öz

Odontomlar çenelerin en yaygın görülen odontojenik tümörleridir. Genellikle yaşamın ikinci ve üçüncü dekatında, rutin radyografik muayene sırasında tesadüfen keşfedilirler. Yavaş büyüyen ve agresif olmayan tümörlerdir. Radyografik ve mikroskobik özelliklerine göre ayrılan kompaund ve kompleks tipleri mevcuttur. Kompaund odontom, çok sayıda irregüler diş benzeri yapılar içerirken; kompleks odontom, diş dokularının düzensiz kitlesi şeklinde görülür. Etiyolojisi tam olarak bilinmemekle birlikte lokal travma, enfeksiyon ve genetik faktörlerin etkili olabileceği düşünülmektedir. Genellikle asemptomatik seyreden kompleks odontomlar, nadiren ağız içine sürerek ağrı, enflamasyon, enfeksiyon ve ülserasyona yol açabilir veya büyük boyutlara ulaştığında kortikal ekspansiyon, fasiyal asimetri ve travmatik ülsere sebep olabilir. Odontomların tedavisinde basit eksizyon uygulanır. Bu çalışmanın amacı 16 yaşında erkek hastada görülen kompleks odontom vakası ile ilgili bilgi vermektir.

Anahtar Kelimeler

odontom, kompleks odontom, olgu sunumu, konik ışınlı bilgisayarlı tomografi, panaromik radyografi

Kaynakça

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