An Exophytic Growth in the Maxillary Anterior Region: A Diagnostic Dilemma.

Autor: M. S., Shrinidhi, K. C., Chethana, K., Suprabha, M. P., Chaitra, Poojari, Bharathi, B. G., Soumya
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Zdroj: Oral & Maxillofacial Pathology Journal; Jan-Jun2024, Vol. 15 Issue 1, p145-148, 4p
Abstrakt: Background: Odontomas are benign odontogenic tumors containing all the tissues of teeth.According to WHO, they are classified as compound and complex odontomas. When the dental tissues are organized resembling a tooth like structure, they are called compound odontomas. Complex odontomas lack a well organised structure. The exact etiology of the odontomas are unknown. They are usually asymptomatic which are noticed during routine radiographic examinations. Case report: A 46 year old patient reported with a hard and painless swelling in the upper front tooth region,and had a history of extraction in the adjacent area. OPG and CBCT report revealed the presence of a solitary well defined irregular radiopacity, surrounded by a radiolucent rim, in relation to the tooth 22. Patient was provisionally diagnosed with odontoma, with poor prognosis of 22. Management: Conservative surgical excision of the lesion was done under local anaesthesia. Though the recurrence rate is low, the lesion was carefully excised and the surgical site was sutured. The specimen sent for histopathological examination, revealed the features similar to complex odontoma. Although similarities exists between the two types, proper radiographic and histopathological examination is required to arrive at a definitive diagnosis. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index