Odontomi: pedijatrijski prikaz slučaja i pregled literature
| Autor: | Srđan Marelić, Ana Zulijani, Lucija Ćabov Ercegović, Tomislav Ćabov, Petra Nola Fuchs |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Acta Clinica Croatica, Vol 60., Iss 1., Pp 146-152 (2021) Acta Clinica Croatica |
| ISSN: | 1333-9451 0353-9466 |
| Popis: | Odontomas are benign odontogenic tumors formed from epithelial and mesenchymal cells. They are mostly associated with disorders of tooth eruption, causing impaction and/or delayed tooth eruption, and are an accidental finding on routine radiological examination. The aim of this paper is to present current findings in the etiology and treatment of odontomas, as well as the clinical and radiographic features, describing a case that is rarely found in the literature. A case of multiple complex odontoma in the mandible of an 11-year-old boy is presented, causing impaction of the first permanent right molar, 46. The treatment consisted of surgical enucleation of the multiple complex odontoma with preservation of the impacted tooth, monitoring clinically and radiologically its spontaneous eruption followed by final orthodontic alignment. Odontomas are not an everyday part of clinical practice and given that they are most commonly associated with permanent tooth impaction, it is extremely important to have knowledge of their clinical and radiological features. Early diagnostics and appropriate treatment result in better diagnosis, thus increasing the possibility of preserving the impacted teeth. Odontomi su dobroćudni odontogeni tumori nastali od epitelne i mezenhimne osnove. Najčešće su povezani s poremećajima u nicanju zuba, uzrokujući impakciju i/ili zakašnjelo nicanje zuba te su slučajan nalaz prilikom rutinskih radioloških snimaka. Cilj ovoga rada je prikazati dosadašnja saznanja u etiologiji i liječenju odontoma, kao i kliničke i radiografske značajke, prikazujući slučaj koji se rijetko može naći u literaturi. Prikazan je slučaj višestruko složenog odontoma u mandibuli 11-godišnjaka, što uzrokuje impakciju prvog trajnog desnog kutnjaka, 46. Liječenje se sastojalo od kirurške enukleacije višestruko složenog odontoma uz očuvanje zahvaćenog zuba. Nakon operativnog zahvata klinički i radiološki se pratilo spontano nicanje impaktiranog zuba do konačnog ortodontskog ispravljanja položaja zuba. Odontomi nisu svakodnevni dio kliničke prakse, a s obzirom na to da su najčešće povezani s impakcijom trajnih zuba veoma je važno poznavati njihove kliničke i radiološke značajke. Rano dijagnosticiranje i primjereno liječenje rezultiraju boljom dijagnozom, povećavajući tako mogućnost očuvanja impaktiranih zuba. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|