Composite odontoma with 23 denticles in a pediatric patient: A case report

Case Report

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


Composite odontoma with 23 denticles in a pediatric patient: A case report

OrcidPaôla Caroline da Silva Mira1 ✉, OrcidJéssica Silva Peixoto Bem2, OrcidAndresa Vieira da Silva3, OrcidMarcio Santos de Carvalho4, OrcidMarcelo Rodrigues Azenha5, OrcidChristiano Oliveira-Santos6, OrcidMaria Bernadete Sasso Stuani7, OrcidCarolina Paes Torres8

Affiliations

1. Master, Department of Pediatric Clinics, University of São Paulo (USP), Brazil ( Correspondence: paola.mira@usp.br)

2. Master Student, Department of Pediatric Clinics, University of São Paulo (USP), Brazil

3. Specialization Student, Department of Pediatric Clinics, University of São Paulo (USP), Brazil

4. Master Student, Department of Pediatric Clinics, University of São Paulo (USP), Brazil

5. Professor, Department of Stomatology, Public Health, and Forensic Dentistry, University of São Paulo (USP), Brazil

6. Associate, Professor, Department of Stomatology, Public Health, and Forensic Dentistry, University of São Paulo (USP), Brazil

7. Associate, Professor, Department of Pediatric Clinics, University of São Paulo (USP), Brazil

8. Professor, Department of Pediatric Clinics, University of São Paulo (USP), Brazil


Highlights

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.


Abstract

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


Copyright © 2021 Contemporary Pediatric Dentistry

References

1. Altay MA, Ozgur B, Cehreli ZC. Management of a compound odontoma in the primary dentition. J Dent Child 2016;83:98-101

2. Philipsen HP, Reichart PA, Praetorius F. Mixed odontogenic tumours and odontomas. Considerations on interrelationship. Review of the literature and presentation of 134 new cases of odontomas. Oral Oncol 1997;33:86-99

3. de Oliveira BH, Campos V, Marçal S. Compound odontoma-diagnosis and treatment: three case reports. Pediatr Dent 2001;23:151-157

4. Sánchez OH, Berrocal MIL, González JMM. Metaanalysis of the epidemiology and clinical manifestations of odontomas. Med Oral Patol Oral Cir Bucal 2008;13:730-734

5. Janev EJ, Redzep E, Kanurkova L, Tosevska S. Compound odontoma in childhood population (Case Report). J. Morphol Sci 2020;3:73-78

6. Horner K, Islam M, Flygare L, Tsiklakis K, Whaites E. Basic principles for use of dental cone beam computed tomography: consensus guidelines of the European Academy of Dental and Maxillofacial Radiology. Dentomaxillofac Radiol 2020;38:187-195

7. Aps J. Radiography in pediatric dental practice. Clin Dent Rev 2020;4:5-6

8. Katheria BC, Kau CH, Tate R, Chen JW, English J, Bouquot J. Effectiveness of impacted and supernumerary tooth diagnosis from traditional radiography versus cone beam computed tomography. Pediatr Dent 2010;32:304-309

9. Mehta V, Ahmad N. Cone beamed computed tomography in pediatric dentistry: Concepts revisited. J Oral Biol Craniofac Res 2020;10:210-211

10. American Academy of Pediatric Dentistry. Management considerations for oral surgery and oral pathology. Pediatr Dent 2017;39:361-370

11. Townsend JA, Wells MH. Behavior guidance of the pediatric dental patient. Pediatr Dent  2019;41:352-370

12. Raupp S, Kramer PF, de Oliveira HW, da Rosa FM, Faraco Junior IM. Application of computed tomography for supernumerary teeth location in pediatric dentistry. Int J Clin Pediatr Dent 2008;32:273-276

13. Monteiro PM, Mira PCS, Arnez MFM, Silva FWGP, Stuani MBS. Mesiodens and maxillary central incisors impaction: multidisciplinary approach to reestablish esthetics and function. Rev Clín Ortod Dent Press 2019;18:120-129

14. Hong J, Lee DG, Park K. Retrospective analysis of the factors influencing mesiodentes eruption. Int J Paediatr Dent 2009;19:343-348

15. Shulman ER, Corio RL. Delayed eruption associated with an odontoma. ASDC J Dent Child 1987;54:205-207 16. Oliver RG, Hodges CG. Delayed eruption of a maxillary central incisor associated with an odontome: report of case. ASDC J Dent Child 1988;55:368-371

16. Oliver RG, Hodges CG. Delayed eruption of a maxillary central incisor associated with an odontome: report of case. ASDC J Dent Child 1988;55:368-371

Full Text


DOI

10.51463/cpd.2021.44


Views

110 views

Article Info

Received:

02 March 2021

Accepted:

15 April 2021

Online First:

21 April 2021