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Πέμπτη 4 Αυγούστου 2016

Complex odontomas hindering eruption of maxillary permanent teeth: a radiological perspective

Description

Odontomas are benign neoplasms of odontogenic origin. They are more appropriately termed hamartomas because of their limited growth potential rather than true neoplasm. Clinically, three types of odontomas are identified in the literature: central (intraosseous) odontoma, peripheral (extraosseous or soft tissue) odontoma and erupted odontoma, whereas histologically they can be either compound (tooth-like structures) or complex (mixture of odontogenic tissues without dental organisation).1

These odontomas although benign cause disturbances in tooth eruption, such as impaction, delayed eruption or retention of primary teeth.2

Case report

A 12-year-old girl reported to the clinic for routine dental check-up. Her medical, dental and family histories were insignificant. Oral examination revealed mixed dentition with presence of over-retained maxillary deciduous teeth 62, 63 and 64(FDI) in the left quadrant. An orthopantomogram was advised and it revealed unerupted permanent successors 22, 23 and 24 associated with a mixed radiopaque-radiolucent...



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