Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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An alternative treatment option for a bony defect from large odontoma using recycled demineralization at chairside

  • Lee, JuHyon (Department of Oral and Maxillofacial Surgery, Dankook University Jukjeon Dental Hospital) ;
  • Lee, Eun-Young (Department of Oral and Maxillofacial Surgery, Chungbuk National University College of Medicine) ;
  • Park, Eun-Jin (Department of Prosthodontics, Ewha Womans University School of Medicine) ;
  • Kim, Eun-Suk (Department of Oral and Maxillofacial Surgery, Dankook University Jukjeon Dental Hospital)
  • Received : 2014.12.25
  • Accepted : 2015.02.23
  • Published : 2015.04.30
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Abstract

Odontoma is the most common odontogenic benign tumor, and the treatment of choice is generally surgical removal. After excision, bone grafts may be necessary depending on the need for further treatment, or the size and location of the odontoma. Although the osteogenic capacity of a demineralized tooth was verified as early as 1967 by Urist and many other investigators, the cumbersome procedure, including a long demineralization time, may be less than comfortable for clinicians. A modified ultrasonic technology, with periodic negative pressure and temperature control, facilitated rapid and aseptic preparation of demineralized teeth for bone grafts. This approach reduces the demineralization time dramatically (${\leq}80$ minutes), so that the graft material can be prepared chairside on the same day as the extraction. The purpose of this article is to describe two cases of large compound odonotomas used as graft material prepared chairside for enucleation-induced bony defects. These two clinical cases showed favorable wound healing without complications, and good bony support for future dental implants or orthodontic treatment. Finally, this report will suggest the possibility of recycling the benign pathologic hard tissue as an alternative treatment option for conventional bone grafts in clinics.

Keywords

References

  1. Budnick SD. Compound and complex odontomas. Oral Surg Oral Med Oral Pathol 1976;42:501-6. https://doi.org/10.1016/0030-4220(76)90297-8
  2. Neville B, Damm DD, Allen CM, Bouquot J. Oral and maxillofacial pathology. Philadelphia: WB Saunders; 2007.
  3. Owens BM, Schuman NJ, Mincer HH, Turner JE, Oliver FM. Dental odontomas: a retrospective study of 104 cases. J Clin Pediatr Dent 1997;21:261-4.
  4. Mehra P, Singh H. Complex composite odontoma associated with impacted tooth: a case report. N Y State Dent J 2007;73:38-40.
  5. Louis PJ, Gutta R, Said-Al-Naief N, Bartolucci AA. Reconstruction of the maxilla and mandible with particulate bone graft and titanium mesh for implant placement. J Oral Maxillofac Surg 2008;66:235-45. https://doi.org/10.1016/j.joms.2007.08.022
  6. Yeomans JD, Urist MR. Bone induction by decalcified dentine implanted into oral, osseous and muscle tissues. Arch Oral Biol 1967;12:999-1008. https://doi.org/10.1016/0003-9969(67)90095-7
  7. Kim YK, Kim SG, Byeon JH, Lee HJ, Um IU, Lim SC, et al. Development of a novel bone grafting material using autogenous teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:496-503. https://doi.org/10.1016/j.tripleo.2009.10.017
  8. Murata M, Akazawa T, Takahata M, Ito M, Tazaki J, Hino J, et al. Bone induction of human tooth and bone crushed by newly developed automatic mill. J Ceramic Soc Jpn 2010;118:434-7. https://doi.org/10.2109/jcersj2.118.434
  9. Kim YK, Kim SG, Yun PY, Yeo IS, Jin SC, Oh JS, et al. Autogenous teeth used for bone grafting: a comparison with traditional grafting materials. Oral Surg Oral Med Oral Pathol Oral Radiol 2014;117:e39-45. https://doi.org/10.1016/j.oooo.2012.04.018
  10. Nanci A. Ten Cate's oral histology: development, structure and function. 8th ed. Mosby Elsevier; 2008:108-92.
  11. Butler WT, Mikulski A, Urist MR, Bridges G, Uyeno S. Noncollagenous proteins of a rat dentin matrix possessing bone morphogenetic activity. J Dent Res 1977;56:228-32. https://doi.org/10.1177/00220345770560030601
  12. Liu Y, Luo D, Liu S, Fu Y, Kou X, Wang X, et al. Effect of nanostructure of mineralized collagen scaffolds on their physical properties and osteogenic potential. J Biomed Nanotechnol 2014;10:1049-60. https://doi.org/10.1166/jbn.2014.1794
  13. Beniash E. Biominerals--hierarchical nanocomposites: the example of bone. Wiley Interdiscip Rev Nanomed Nanobiotechnol 2011;3:47-69. https://doi.org/10.1002/wnan.105
  14. Behrend O, Schubert H. Influence of hydrostatic pressure and gas content on continuous ultrasound emulsification. Ultrason Sonochem 2001;8:271-6. https://doi.org/10.1016/S1350-4177(01)00088-8
  15. Fang QG, Shi S, Sun CF. Odontogenic lesions in pediatric patients. J Craniofac Surg 2014;25:e248-51. https://doi.org/10.1097/SCS.0000000000000548
  16. Fasolis M, Boffano P, Ramieri G. Morbidity associated with anterior iliac crest bone graft. Oral Surg Oral Med Oral Pathol Oral Radiol 2012;114:586-91. https://doi.org/10.1016/j.oooo.2012.01.038
  17. Atiya BK, Shanmuhasuntharam P, Huat S, Abdulrazzak S, Oon H. Liquid nitrogen-treated autogenous dentin as bone substitute: an experimental study in a rabbit model. Int J Oral Maxillofac Implants 2014;29:e165-70. https://doi.org/10.11607/jomi.te54
  18. Rezende ML, Consolaro A, Sant'Ana AC, Damante CA, Greghi SL, Passanezi E. Demineralization of the contacting surfaces in autologous onlay bone grafts improves bone formation and bone consolidation. J Periodontol 2014;85:e121-9. https://doi.org/10.1902/jop.2013.130298
  19. Suzuki S, Haruyama N, Nishimura F, Kulkarni AB. Dentin sialophosphoprotein and dentin matrix protein-1: two highly phosphorylated proteins in mineralized tissues. Arch Oral Biol 2012;57:1165-75. https://doi.org/10.1016/j.archoralbio.2012.03.005
  20. Huang YF, Meek KM, Wang LQ, Wang DJ. Effects of prior freezing or drying on the swelling behaviour of the bovine cornea. Chin Med J (Engl) 2009;122:212-8.

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