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The Journal of Clinical Pediatric... 2011The ameloblastic fibro-odontoma (AFO) is an uncommon odontogenic tumor occurring in childhood with limited reported data on recurrence. The purpose of this AFO study was... (Review)
Review
OBJECTIVE
The ameloblastic fibro-odontoma (AFO) is an uncommon odontogenic tumor occurring in childhood with limited reported data on recurrence. The purpose of this AFO study was to review its clinicopathologic features, investigate treatment modalities and establish a recurrence rate.
STUDY DESIGN
The clinicopathologic features of 12 new cases of AFO were analyzed and compared with those of 208 cases from the literature, with special emphasis on the clinical behavior, treatment, and recurrence rate.
RESULTS
The average age was 9.4 (+/- 6.7) years with a male-to-female ratio of 1.6:1. The mandible was the site of occurrence in 59.5%. The tumor most often presented radiographically as a unilocular mixed density lesion associated with the crown of an impacted tooth. Displacement of teeth, delayed eruption and bony expansion were commonplace. There were 5 recurrences among 68 cases with adequate follow-up for a recurrence rate of 7.4%. All recurrences were attributed to incomplete removal at the time of the initial surgery.
CONCLUSIONS
The AFO is a childhood tumor most often affecting the posterior jaws and frequently causing bony expansion with profound affects on the dentition. Conservative surgical removal with extraction of the associated teeth is recommended. The established recurrence rate is less than 10%.
Topics: Adolescent; Adult; Child; Female; Humans; Jaw Neoplasms; Male; Neoplasm Recurrence, Local; Odontoma; Tooth, Impacted; Young Adult
PubMed: 22046699
DOI: 10.17796/jcpd.35.4.t3387t25865758w3 -
Developmental Period Medicine 2015Odontomas constitute a developmental defect of hard dental tissues and are classified as benign odontogenic tumours. They are composed of all dental structures and... (Review)
Review
INTRODUCTION
Odontomas constitute a developmental defect of hard dental tissues and are classified as benign odontogenic tumours. They are composed of all dental structures and tissues: enamel, dentin, cementum and pulp. As regards histomorphological features, two types of odontomas have been differentiated: complex and compound. Odontomas represent from 4.7% to 76% of odontogenic tumours. Their aetiology has not been fully understood, yet injury, infection and genetic factors are often named among the causes. Odontomas are usually detected by chance in radiographic images taken in relation to disrupted eruption or mislocation of teeth.
AIM OF STUDY
To present the case study of an erupting compound odontoma on the right side of the mandible in an 11-year-old girl.
MATERIAL, METHODS AND RESULTS
The analysis covered medical documentation of the patient, diagnostic casts, orthopantomographs and cone beam computed tomography scans. The case study has been complemented with the review of up-to-date literature. A lesion composed of 30 odontoids was removed during one-day surgery without subsequent augmentation with bone substitute material. There were no post-surgery complications. A follow-up orthopantomograph taken 3 months later showed that the wound had been healing correctly, which made it possible to plan subsequent orthodontic treatment with a fixed appliance.
CONCLUSIONS
1. Odontomas are benign lesions which can be removed during one-day surgery without the absolute need of augmentation with xenogenic or allogenic material. 2. The pressure exerted by the plate of a removable appliance is very likely to initiate the eruption of the odontoma.
Topics: Child; Female; Follow-Up Studies; Humans; Mandibular Neoplasms; Odontoma; Prognosis; Tooth, Impacted; Treatment Outcome
PubMed: 26982758
DOI: No ID Found -
International Journal of Oral and... Oct 2000An unusual case of erupting complex odontoma is presented. (Review)
Review
An unusual case of erupting complex odontoma is presented.
Topics: Humans; Male; Maxillary Neoplasms; Middle Aged; Molar; Odontoma
PubMed: 11071243
DOI: No ID Found -
Journal of Dentistry For Children... 2016Odontomas are the most common benign odontogenic tumors of the oral cavity; however, their occurrence in the primary dentition is an extremely rare condition. When... (Review)
Review
Odontomas are the most common benign odontogenic tumors of the oral cavity; however, their occurrence in the primary dentition is an extremely rare condition. When associated with primary teeth, odontomas may lead to disturbances in tooth eruption, which often requires a multidisciplinary treatment approach. The purpose of this paper is to review the literature on odontomas of the primary dentition and discuss the management of a compound odontoma in a pediatric patient.
Topics: Child, Preschool; Diagnosis, Differential; Female; Humans; Maxillary Neoplasms; Odontoma; Radiography, Panoramic; Tomography, X-Ray Computed; Tooth, Deciduous
PubMed: 27620522
DOI: No ID Found -
Journal of Oral and Maxillofacial... Oct 2012Odontomas account for the largest fraction of odontogenic tumors and are frequent causes of tooth impaction. A case of a 13-year-old female patient with an... (Review)
Review
Odontomas account for the largest fraction of odontogenic tumors and are frequent causes of tooth impaction. A case of a 13-year-old female patient with an odontoma-associated impaction of a mandibular molar is presented with a review of the literature. Preoperative planning involved simple and convenient methods such as clinical examination and panoramic radiography, which led to a diagnosis of complex odontoma and warranted surgical removal. The clinical diagnosis was confirmed histologically. Multidisciplinary consultation may enable the clinician to find the accurate diagnosis and appropriate therapy based on the clinical and radiographic appearance. Modern radiologic methods such as cone-beam computed tomography or computed tomography should be applied only for special cases, to decrease radiation.
Topics: Adolescent; Female; Humans; Mandibular Neoplasms; Molar; Odontoma; Oral Surgical Procedures; Orthodontics, Corrective; Patient Care Planning; Patient Care Team; Radiography, Panoramic; Tooth, Impacted
PubMed: 22883320
DOI: 10.1016/j.joms.2012.05.030 -
Histopathology Feb 2020
Topics: Child; Diagnosis, Differential; Female; Humans; Male; Odontogenesis; Odontogenic Tumors; Odontoma
PubMed: 31545527
DOI: 10.1111/his.13999 -
BMJ Case Reports Jan 2023Odontoma is the most common benign odontogenic hamartoma. Odontomas are of two types, such as viz compound and complex odontoma. The complex type is a conglomeration of...
Odontoma is the most common benign odontogenic hamartoma. Odontomas are of two types, such as viz compound and complex odontoma. The complex type is a conglomeration of hard tissues of dental origin. They are primarily intraosseous and usually present in the second decade of life. Most odontomas are asymptomatic, but those erupting in the oral cavity may cause severe infection. They are often associated with impacted teeth and are present with the anterior maxilla showing the highest propensity.The present case report is of a male patient in his early 60s with a substantial solitary sclerotic odontoma of the middle and posterior segments of the maxilla erupted into the oral cavity communicating with the right maxillary sinus. The delayed presentation, size, location and active suppuration can misguide clinicians.
Topics: Humans; Male; Odontoma; Maxilla; Tooth, Impacted; Mouth; Osteomyelitis
PubMed: 36669786
DOI: 10.1136/bcr-2022-253322 -
BMJ Case Reports Jun 2022
Topics: Humans; Jaw; Mandibular Neoplasms; Odontoma
PubMed: 35667701
DOI: 10.1136/bcr-2022-250363 -
Quintessence International (Berlin,... Sep 2023Dentinogenic ghost cell tumor (DGCT) is an uncommon odontogenic tumor considered to be the solid, tumorous variant of calcifying odontogenic cyst. DGCT is characterized... (Review)
Review
Dentinogenic ghost cell tumor (DGCT) is an uncommon odontogenic tumor considered to be the solid, tumorous variant of calcifying odontogenic cyst. DGCT is characterized by islands of ameloblastoma-like epithelial cells that resemble the enamel organ, the presence of ghost cells, and dentinoid material. This article reports a rare case of dentinogenic ghost cell tumor associated with an odontoma in an adult patient, with a review of the literature. To the best of the authors' knowledge, there have only been four case reports of DGCT associated with odontoma, all of which occurred in children and adults younger than 30 years old.
Topics: Adult; Child; Humans; Odontoma; Odontogenic Tumors; Odontogenic Cyst, Calcifying; Ameloblastoma
PubMed: 37313575
DOI: 10.3290/j.qi.b4157337 -
BMJ Case Reports Jan 2015Odontomas are the most common odontogenic tumours of the maxillary bones, characterised by a slow growth and benign behaviour. They are usually small, asymptomatic and... (Review)
Review
Odontomas are the most common odontogenic tumours of the maxillary bones, characterised by a slow growth and benign behaviour. They are usually small, asymptomatic and diagnosed after routine radiographic examination. The aim of this study was to report a case of a compound odontoma in the anterior maxilla of a 7-year-old girl, which was causing the impaction of the maxillary right central and lateral incisors, as well as the prolonged retention of the corresponding primary teeth. We also aimed to review the literature about these tumours, since they are not part of the dentist's day-to-day clinical practice. The clinical and radiographic features, the diagnosis and treatment of the case were discussed in this work.
Topics: Child; Female; Humans; Maxillary Neoplasms; Odontoma; Radiography; Tooth, Impacted
PubMed: 25583937
DOI: 10.1136/bcr-2014-208201