Contemp Pediatr Dent 2021:2(1):50-56
Composite odontoma with 23 denticles in a pediatric patient: A case report
Paôla Caroline da Silva Mira1 ✉, Jéssica Silva Peixoto Bem2, Andresa Vieira da Silva3, Marcio Santos de Carvalho4, Marcelo Rodrigues Azenha5, Christiano Oliveira-Santos6, Maria Bernadete Sasso Stuani7, Carolina Paes Torres8
Odontoma occurs more frequently during the permanent dentition phase in children, adolescents, and young adults.
Even though odontomasare usually not associated with painful symptoms, their presence may trigger major occlusal, phonetic, and aesthetic disorders.
Treatment plan for odontomas should involve a more comprehensive approach considering not only its surgical removal, but also the potential consequences caused by presence of the lesion.
Compound odontoma is an odontogenic tumor of ectomesenchymal origin containing tooth-like structures. Occasionally, this lesion may trigger occlusal, phonetic, and aesthetic disorders. The aim is to report a case of a compound odontoma containing 23 denticles in the anterior region of the maxilla of an infant patient. A 12-year-old male patient was referred for orthodontic treatment at Ribeirão Preto School of Dentistry, University of São Paulo (Ribeirão Preto, Brazil) complaining of a large diastema between the upper central incisors. Panoramic radiograph revealed the presence of a radiopaque lesion with tooth-like structures surrounded by a radiolucent rim in the anterior region of the maxilla, associated with distal displacement of the left central incisor. Surgical approach under general anesthesia revealed and extracted 23 denticles. Post-operative Cone beam computed tomography (CBCT) confirmed removal of all denticles, and further orthodontic treatment could be planned. Multidisciplinary involvement of pediatric dentist, oral and maxillofacial surgeon, and orthodontist was essential to achieve full functional, aesthetic, and psychosocial success.
Copyright © 2021 Contemporary Pediatric Dentistry
02 March 2021
15 April 2021
21 April 2021