Composite Odontoma With 23 Denticles In A Pediatric Patient: A Case Report

Case Report

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 odontomas are 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.

Keywords: Odontoma; Pediatric Dentistry; Surgery

Master, Department of Pediatric Clinics, University of São Paulo (USP), Brazil (✉ Correspondence: paola.mira@usp.br)
Master Student, Department of Pediatric Clinics, University of São Paulo (USP), Brazil
Specialization Student, Department of Pediatric Clinics, University of São Paulo (USP), Brazil
Master Student, Department of Pediatric Clinics, University of São Paulo (USP), Brazil
Professor, Department of Stomatology, Public Health, and Forensic Dentistry, University of São Paulo (USP), Brazil
Associate, Professor, Department of Stomatology, Public Health, and Forensic Dentistry, University of São Paulo (USP), Brazil
Associate, Professor, Department of Pediatric Clinics, University of São Paulo (USP), Brazil
Professor, Department of Pediatric Clinics, University of São Paulo (USP), Brazil

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Contemp Pediatr Dent 2021:2(1):50-56

Received: 02 March 2021

Accepted: 15 April 2021

Online First: 21 April 2021

DOI: 10.51463/cpd.2021.44

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					Paôla Caroline da Silva Mira, Jéssica Silva Peixoto Bem, Andresa Vieira da Silva, Marcio Santos de Carvalho, Marcelo Rodrigues Azenha, Christiano Oliveira-Santos, Maria Bernadete Sasso Stuani, Carolina Paes Torres. Composite odontoma with 23 denticles in a pediatric patient: A case report. Contemp Pediatr Dent 2021:2(1):50-56

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