Document Detail

Erupted odontomas: a report of three cases and review of the literature.
MedLine Citation:
PMID:  19300370     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Odontomas are benign odontogenic tumors composed of enamel, dentine, cement and pulp tissue. They are usually clinically asymptomatic, but often associated with tooth eruption disturbances. In exceptional cases the odontoma erupts into the mouth . The present study reports three cases of odontomas erupted into the oral cavity and reviews the literature. CLINICAL CASES: The first case was an 11-year-old girl with impacted 4.6 associated to a radiopaque mass measuring about 2 cm in diameter. The histological diagnosis was complex odontoma. A clinical and radiological follow-up of 4.6 was carried out until its spontaneous eruption. The second case was a 26-year-old male presenting a hard, yellowish-brown mass located distal to the upper left second molar. Computed tomography confirmed the presence of a radiopaque lesion, and the histopathological study confirmed a complex odontoma. The third patient was a 27-year-old male reporting tongue irritation due to tooth eruption in the inferior lingual region. A periapical radiograph revealed a mixed radiopaque lesion associated to impacted 3.2. The histological report in this case indicated a compound odontoma. DISCUSSION: Odontomas erupting into the oral cavity are rare. The first case was published in 1980, and since then only 17 cases have been reported in the literature. Eight of the 17 cases were complex odontomas; the rest were compound odontomas. Pain, swelling and infection were the most common symptoms, and 13 cases presented an impacted tooth associated with the lesion.
Gabriel Serra-Serra; Leonardo Berini-Aytés; Cosme Gay-Escoda
Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2009-06-01
Journal Detail:
Title:  Medicina oral, patología oral y cirugía bucal     Volume:  14     ISSN:  1698-6946     ISO Abbreviation:  Med Oral Patol Oral Cir Bucal     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-28     Completed Date:  2009-08-24     Revised Date:  2009-12-11    
Medline Journal Info:
Nlm Unique ID:  101231694     Medline TA:  Med Oral Patol Oral Cir Bucal     Country:  Spain    
Other Details:
Languages:  eng     Pagination:  E299-303     Citation Subset:  D; IM    
University of Barcelona Dental School, Barcelona, Spain.
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MeSH Terms
Mouth Neoplasms* / diagnosis,  surgery
Odontoma* / diagnosis,  surgery

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