• Title/Summary/Keyword: Compound odontoma

Search Result 30, Processing Time 0.021 seconds

A Peduncular Cystic Compound Odontoma on the Posterior Wall of the Maxillary Sinus (상악동후벽에 발생한 낭형 복합치아종)

  • Kang Byung-Cheol
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
    • /
    • v.28 no.2
    • /
    • pp.491-503
    • /
    • 1998
  • A cystic compound odontoma in the maxillary sinus occurred in a 13-year-old boy. who had missing right upper third molar without having the history of extraction of the wisdom tooth. He complained nasal stuffiness. headache. and pain on the affected face. resembling any sign and symptoms of the maxillary sinus problems. The cystic compound. sized 2 x 1.5 cm in diameter was pedunculated and attached on the posterior wall of the right maxillary sinus and above the antral floor. The location of the compound odontoma in the maxillary sinus was confirmed after panoramic. waters. spiral tomographic. CT examinations and surgical exploration. Its location was on the medial. posterior. superior to the normal position of the maxillary third molar or the maxillary dental arch. The cystic odontoma in the maxillary sinus made the patient have the signs and symptoms of maxillary sinusitis. The cystic compound odontoma might be originated from the dental lamina of the missing upper right third molar. The 'V principle' of the upper jaw growth and the pneumatization process of the maxillary sinus could explain why the compound odontoma had peduncular shape and the location of odontoma was on the medial. superior to the normal position of the maxillary dental arch.

  • PDF

RADIOGRAPHIC STUDY OF THE ODONTOMA (치아종의 X선학적 연구)

  • Ahn Hyung Kyu
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
    • /
    • v.13 no.1
    • /
    • pp.145-150
    • /
    • 1983
  • The author studied clinically and radiologically 55 cases which had been diagnosed as odontoma in SNUDH. The obtained results were as follows: 1. In sex distribution, there was no prevalence in both sexes. And the incidence was the highest in the 2nd decade. (16 patients, 29%) 2. There were 42 cases of compound odontoma (76%) and 13 cases of complex odontoma (24%). In most cases, compound odontoma was located at the anterior portion (34 cases, 81%) and complex odontoma at the posterior portions (9 cases, 69%). 3. There was no apparent clinical symptom in compound odontoma (83%), but in complex odontoma, 80% of case show swelling. 4. The adjacent root resorption was not observed in any case. 5. Five cases radiographically diagnosed as cystic odontoma were not confirmed histopathologically.

  • PDF

CLINICAL, RADIOGRAPHIC AND HISTOPATHOLOGIC ANALYSIS OF ODONTOMA (치아종의 임상적, 방사선학적, 조직병리학적 분석)

  • Jang, Hyun-Seon;Kim, Su-Gwan
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.23 no.4
    • /
    • pp.332-337
    • /
    • 2001
  • An odontoma is a slow growing and nonaggressive odontogenic tumor composed of enamel, dentin, cementum, and pulp tissue. The etiology of odontomas is unknown, although local trauma, infection, and genetic factors have been suggested. Odontomas are classified as compound odontoma or complex. A 20-year retrospective study was performed on 36 odontomas from the files of the Department of Oral Pathology at Chosun University School of Dentistry. Fifty-six percent of the patients were compound odontoma and 44% were complex odontoma. 56 percent of the patients were female and 44% were male. The odontoma is most often diagnosed in the second decade of life, during routine radiographic examination. The usual presenting symptoms are an impacted or and unerupted tooth, a retained primary tooth. Other less frequent signs and symptoms are pain, swelling, suppuration, foul odor, tooth mobility. In our patients were treated by enucleation of the tumor, and related teeth were treated by surgical extraction or orthodontically assisted eruption.

  • PDF

CONSERVATIVE SURGICAL REMOVAL OF COMPOUND ODONTOMA: CASE REPORTS (복합 치아종의 보존적 외과적 적출: 증례보고)

  • Kim, Soo-Yung;Choi, Nam-Ki;Kim, Seon-Mi
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.39 no.1
    • /
    • pp.97-102
    • /
    • 2012
  • Odontoma is a mixed tumor formed by the overgrowth of ectodermal epithelial cells and mesodermal cells. It arises during normal tooth development and only grows to a certain level. It is not a true neoplasm and therefore it is considered as hamartomas. Odontomas are classified into compound and complex types based on morphology. Compound odontoma is commonly found in the anterior region of the maxilla, and has a radiopaque lesion that resembles small teeth. Usually, odontoma is treated by conservative surgical removal and there is little probability of recurrence. This paper describes three cases of compound odontoma diagnosed in children with 1 year of follow-up. These case reports present patients having eruption disturbance of primary and permanent teeth due to the presence of compound odontoma. In order to induce spontaneous eruption, conservative surgical removal was performed showing favorable results.

COMPOUND ODONTOMA WITH CONGENITAL MISSING OF THE PERMANENT TEETH: CASE REPORTS (영구치의 선천적 결손을 동반한 복합 치아종)

  • Kim, Ha-Na;Kim, Jae-Gon;Baik, Byeong-Ju;Han, Ji-Hye;Yang, Yeon-Mi
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.34 no.4
    • /
    • pp.679-684
    • /
    • 2007
  • Odontoma is the most common benign odontogenic tumors, and have been defined as mixed odontogenic tumor composed of epithelial and mesenchymal cells. Odontoma is believed to be hamartomatous rather than neoplastic in nature. The classification by WHO divides odontoma into 2 groups such as complex odontoma and compound odontoma. Compound odontoma comprises dental tissues, resembling the morphology of a tooth and has predilection for the anterior maxilla. In contrast, complex odontoma has unorganized mass, not resembling the normal tooth and has predilection for the posterior mandible. Odontoma is almost asymptomatic, so it is usually found on routine radiographic examination. Common presenting symptom is impacted or unerupted permanent teeth and retained primary teeth, but coexistent odontoma and congenital missing of permanent teeth is a very rare condition. The recommended treatment for an odontoma is conservative surgical excision, with care taken to remove the surrounding soft tissue. This report presents 2 patients with compound odontoma of the mandible who have congenital missing of the permanent teeth.

  • PDF

DELAYED ERUPTION OF MADIBULAR FIRST MOLAR BY ERUPTED COMPLEX ODONTOMA (Erupted complex odontoma에 의한 하악 제 1대구치 맹출지연)

  • Park, In-Ho;Oh, You-Hyang;Lee, Sang-Ho;Lee, Chang-Seop
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.31 no.4
    • /
    • pp.564-568
    • /
    • 2004
  • Odontoma, hamartomas of odontogenic orgin, are composed of all the structures that make up teeth, which may lead to interference with the eruption of its associated tooth. On the basis of gross, radiographic, and microscopic features, two types of odontoma are recognized: compound and complex. The etilogy of odontomas is unknown, although local trauma, infection, and gentic factors have been suggested. Odontomas occur central in bone between the roots of teeth and the mauority are asymptomatic. Although these tumors occur frequently and constitute 22% of all odontogenic tumors, are very rare. Erupted odontoma are defined as tumors that it occurs a calcifed mass may be defected on the ridge. The treatment of chico is the surgical removal of the lesion followed by a biopsy. This report presents a case of 8-year-old girl with the delayed eruption of the mandibular first molar by the calcified mass within the operculum covered the central fossa. And it was diagnosed as erupted complex odontoma by excisional biopsy.

  • PDF

A Radiographic Study of Odontoma (치아종의 방사선학적 연구)

  • LEE Kyoung-Ho;CHOI Karp-Shik
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
    • /
    • v.28 no.1
    • /
    • pp.145-153
    • /
    • 1998
  • The purpose of this study was to obtain information on the clinical and radiographic features of the odontomas in the jaws. For this study, the authors examined and analyzed the clinical records and radiographs of 119 patients who had lesion of odontoma diagnosed by clinical and radiographic examinations, The obtained results were as follows: 1. Odontoma occurred the most frequently in the 2nd decade(45.4%) and occurred more frequently III males (60.5%) than in females(39.5%). 2. The most common clinical symptom was the delayed eruption of the teeth(34.2%). 3. The type of lesions was mainly observed as compound odontoma(80.8%), and internal pattern of the complex odontoma was unevenly radiopaque(73.9%). 4. The compound odontoma frequently occurred in anterior portion of the maxilla(57.7%) and mandible(30,9%), and complex odontoma frequently occurred in anterior portion of maxilla(34.8%) and posterior portion of mandible(30.5%). 5. The effects on adjacent teeth were impaction of teeth(71.7%) and prolonged retention of deciduous teeth (31.7%), 6. The impaction of the teeth occurred in anterior portion of maxilla (44.2%) and mandible ( 19.2%), but root resorption of the adjacent teeth were not seen, 7. The boundary to adjacent structure was well-defined, the lesions appear as radiopaque mass with radiolucent rim.

  • PDF

AMELOBLASTIC FIBRO-ODONTOMA(AFO) IN THE MAXILLA: A CASE REPORT (상악에 발생한 법랑아세포 섬유-치아종의 치험례)

  • Kim, Hyen-Min;Yi, Jun-Kyu;Moon, Cheol-Hyun;Yi, Sang-Min
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.32 no.6
    • /
    • pp.594-597
    • /
    • 2006
  • Ameloblastic fibro-odontoma(AFO) is a rare mixed odontogenic tumor. It is composed of connective tissue characteristic of an ameloblastic fibroma and calcified tissue as a complex or compound odontoma. AFO usually presents itself as an asymptomatic swelling of jaw or failure of tooth eruption. The lesion usually occurs in individual less than 30 years old. The differential diagnosis of this tumor includes odontoma, ameloblastoma, and ameloblastic fibroma. This report describes an ameloblastic fibro-odontoma occurring in maxilla of sixteen-year-old female. The lesion was treated by surgical enucleation and curettage without extraction of the involved canine(#23). This patient has shown no sign of recurrence during postoperative 34 months. So we report our case with review of literatures