Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
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Giant complex odontoma in the posterior mandible: A case report and literature review

  • Park, Jong Chan (Department of Oral and Maxillofacial Surgery, School of Dentistry, College of Dentistry, Wonkwang University) ;
  • Yang, Ji Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, College of Dentistry, Wonkwang University) ;
  • Jo, Sung Youn (Department of Oral and Maxillofacial Surgery, School of Dentistry, College of Dentistry, Wonkwang University) ;
  • Kim, Bong Chul (Department of Oral and Maxillofacial Surgery, School of Dentistry, College of Dentistry, Wonkwang University) ;
  • Lee, Jun (Department of Oral and Maxillofacial Surgery, School of Dentistry, College of Dentistry, Wonkwang University) ;
  • Lee, Wan (Department of Oral and Maxillofacial Radiology, College of Dentistry, Wonkwang University)
  • Received : 2018.10.01
  • Accepted : 2018.10.30
  • Published : 2018.12.31
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Abstract

Odontomas are considered a type of odontogenic hamartoma, and are generally reported not to exceed 3 cm in diameter. Some authors have referred to odontomas with a diameter exceeding 3 cm as giant odontomas. As hamartomas, giant odontomas generally show no signs or symptoms, but if they perforate the mucosa to become exposed in the oral cavity, oral and maxillofacial infections can result. Surgical removal and a histopathological examination may also be required to differentiate them from osteomas, cemento-osseous dysplasia, or mixed odontogenic tumors. This report presents the case of a 28-year-old woman with a giant odontoma in the right mandibular third molar area. Based on a review of the literature published since 2010, only 11 cases of "giant" or "large" odontomas have been reported, most of which were of the complex odontoma type. It was confirmed that they tend to occur in the right posterior mandible.

Keywords

References

  1. Bagewadi SB, Kukreja R, Suma GN, Yadav B, Sharma H. Unusually large erupted complex odontoma: a rare case report. Imaging Sci Dent 2015; 45: 49-54. https://doi.org/10.5624/isd.2015.45.1.49
  2. Hidalgo-Sanchez O, Leco-Berrocal MI, Martinez-Gonzalez JM. Metaanalysis of the epidemiology and clinical manifestations of odontomas. Med Oral Patol Oral Cir Bucal 2008; 13: E730-4.
  3. An SY, An CH, Choi KS. Odontoma: a retrospective study of 73 cases. Imaging Sci Dent 2012; 42: 77-81. https://doi.org/10.5624/isd.2012.42.2.77
  4. Spini PH, Spini TH, Servato JP, Faria PR, Cardoso SV, Loyola AM. Giant complex odontoma of the anterior mandible: report of case with long follow up. Braz Dent J 2012; 23: 597-600. https://doi.org/10.1590/S0103-64402012000500022
  5. Perumal CJ, Mohamed A, Singh A, Noffke CE. Sequestrating giant complex odontoma: a case report and review of the literature. J Oral Maxillofac Surg 2013; 12: 480-4. https://doi.org/10.1007/s12663-010-0148-y
  6. Kulkarni VK, Vanka A, Shashikiran ND. Compound odontoma associated with an unerupted rotated and dilacerated maxillary central incisor. Contemp Clin Dent 2011; 2: 218-21. https://doi.org/10.4103/0976-237X.86466
  7. Lee J, Lee EY, Park EJ, Kim ES. An alternative treatment option for a bony defect from large odontoma using recycled demineralization at chairside. J Korean Assoc Oral Maxillofac Surg 2015; 41: 109-15. https://doi.org/10.5125/jkaoms.2015.41.2.109
  8. Chrcanovic BR, Jaeger F, Freire-Maia B. Two-stage surgical removal of large complex odontoma. Oral Maxillofac Surg 2010; 14: 247-52. https://doi.org/10.1007/s10006-010-0206-0
  9. Utumi ER, Cremonini CC, Pedron IG, Zambon CE, Cavalcanti MG, Ceccheti MM. Maxillary reconstruction with particulate bone graft and titanium mesh: a treatment option for large complex odontoma of the maxilla. J Dent Child (Chic) 2011; 78: 124-8.
  10. Bodin I, Julin P, Thomsson M. Odontomas and their pathological sequels. Dentomaxillofac Radiol 1983; 12: 109-14. https://doi.org/10.1259/dmfr.1983.0018
  11. Amado Cuesta S, Gargallo Albiol J, Berini Aytes L, Gay Escoda C. Review of 61 cases of odontoma. Presentation of an erupted complex odontoma. Med Oral 2003; 8: 366-73.
  12. Akerzoul N, Chbicheb S, El Wady W. Giant complex odontoma of mandible: a spectacular case report. Open Dent J 2017; 11: 413-9. https://doi.org/10.2174/1874210601711010413
  13. Baldawa RS, Khante KC, Kalburge JV, Kasat VO. Orthodontic management of an impacted maxillary incisor due to odontoma. Contemp Clin Dent 2011; 2: 37-40. https://doi.org/10.4103/0976-237X.79312
  14. Miki Y, Oda Y, Iwaya N, Hirota M, Yamada N, Aisaki K, et al. Clinicopathological studies of odontoma in 47 patients. J Oral Sci 1999; 41: 173-6. https://doi.org/10.2334/josnusd.41.173
  15. Vengal M, Arora H, Ghosh S, Pai KM. Large erupting complex odontoma: a case report. J Can Dent Assoc 2007; 73: 169-73.
  16. Ragalli CC, Ferreria JL, Blasco F. Large erupting complex odontoma. Int J Oral Maxillofac Surg 2000; 29: 373-4. https://doi.org/10.1016/S0901-5027(00)80056-9
  17. Lehman H, Lustmann J, Regev E. Removal of an extensive mandibular odontoma using an intraoral approach. Quintessence Int 2013; 44: 425-8.
  18. de Franca TR, Gueiros LA, de Castro JF, Catunda I, Leao JC, da Cruz Perez DE. Solitary peripheral osteomas of the jaws. Imaging Sci Dent 2012; 42: 99-103. https://doi.org/10.5624/isd.2012.42.2.99
  19. Biocic J, Macan D, Brajdic D, Manojlovic S, Butorac-Rakvin L, Hat J. Large erupting complex odontoma in a dentigerous cyst removed by a piecemeal resection. Pediatr Dent 2010; 32: 255-9.
  20. Mortazavi H, Baharvand M. Jaw lesions associated with impacted tooth: a radiographic diagnostic guide. Imaging Sci Dent 2016; 46: 147-57. https://doi.org/10.5624/isd.2016.46.3.147
  21. Dive A, Khandekar S, Bodhade A, Dhobley A. Odontoameloblastoma. J Oral Maxillofac Pathol 2011; 15: 60-4. https://doi.org/10.4103/0973-029X.80028
  22. Reddy GS, Reddy GV, Sidhartha B, Sriharsha K, Koshy J, Sultana R. Large complex odontoma of mandible in a young boy: a rare and unusual case report. Case Rep Dent 2014; 2014: 854986.
  23. Tomizawa M, Otsuka Y, Noda T. Clinical observations of odontomas in Japanese children: 39 cases including one recurrent case. Int J Paediatr Dent 2005; 15: 37-43. https://doi.org/10.1111/j.1365-263X.2005.00607.x