Compound Odontoma in Anterior Mandible—A Case Report

| Posted in: Science

Journal name: The Malaysian Journal of Medical Sciences
Original article title: Compound Odontoma in Anterior Mandible—A Case Report
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Original source:

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Author:

Eswara UMA


The Malaysian Journal of Medical Sciences:

(A peer-reviewed, open-access journal)

Full text available for: Compound Odontoma in Anterior Mandible—A Case Report

Year: 2017 | Doi: 10.21315/mjms2017.24.3.11

Copyright (license): CC BY 4.0


Download the PDF file of the original publication


Summary of article contents:

Introduction

Odontomas, categorized as the most common odontogenic hamartomas globally, can be classified into two types: compound and complex, depending on the structural organization of their tissues. Often asymptomatic and frequently diagnosed during routine dental examinations, complex odontomas typically occur in the posterior mandible, while compound odontomas are found in the anterior maxilla. This report discusses a rare case of a compound odontoma located in the anterior mandible of a nine-year-old girl, discovered during a dental check-up when a missing permanent mandibular lateral incisor was noted.

Importance of Early Detection in Odontomas

Early detection of odontomas is vital to prevent extensive corrective treatments. In this case, the nine-year-old child was initially diagnosed with a missing permanent tooth, leading to follow-up X-rays that revealed the presence of multiple radio-opaque structures suggestive of a compound odontoma. This diagnosis was unusual due to the atypical location of the odontoma in the mandibular region rather than the more common maxilla. The surgical intervention involved the enucleation of the odontoma under general anesthesia, followed by histopathological examination, which confirmed the diagnosis. This case emphasizes the significance of routine dental examinations that can facilitate the early diagnosis and management of odontogenic abnormalities, minimizing complications associated with delayed treatment.

Conclusion

The occurrence of a compound odontoma in the anterior mandible of a child, as outlined in this case report, underscores the necessity of regular dental check-ups for early identification of dental anomalies. The findings reveal that odontomas can lead to complications such as delayed eruption of permanent teeth, but timely intervention can effectively address these issues. Advocating for increased emphasis on preventative oral health practices will aid in the early detection of such odontogenic tumors, ultimately reducing the need for future surgical interventions.

FAQ section (important questions/answers):

What are odontomas and how are they classified?

Odontomas are the most common odontogenic hamartomas, classified into complex and compound types based on tissue organization. Complex odontomas have disorganized tissues, while compound odontomas contain tooth-like structures.

What typical symptoms are associated with odontomas?

Odontomas are usually asymptomatic and often discovered during routine dental examinations. They may be associated with delayed eruption of teeth and can result in over-retention of primary teeth.

How was the compound odontoma diagnosed in the reported case?

In the case of a nine-year-old girl, a routine dental check-up revealed a missing permanent mandibular lateral incisor. An intra-oral radiograph showed multiple tooth-like structures, leading to the diagnosis of compound odontoma.

What is the recommended treatment for compound odontomas?

Surgical enucleation is the typical treatment for compound odontomas to permit the eruption of impacted teeth. In the reported case, this was performed under general anesthesia for the comfort of the child.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Compound Odontoma in Anterior Mandible—A Case Report”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Study (Studying):
The keyword 'Study' pertains to the methodical investigation in the medical field, aimed at understanding various aspects of odontomas, including their prevalence, characteristics, and treatment options. A structured study, often involving patient cases like the one presented, provides valuable data that informs clinical practices and guides future research related to odontogenic tumors.

2) Table:
In the context of medical literature, 'Table' typically refers to a visual representation of data, such as findings from studies or case reports. Tables are crucial for summarizing complex information succinctly, aiding in comparison and analysis. This can include patient demographics, treatment outcomes, and odontoma characteristics, enhancing clarity in research presentations.

3) Composite:
The term 'Composite' is often used in dentistry to describe materials that are made from two or more constituent materials. In the context of odontomas, the composite nature refers to the combination of epithelial and ectomesenchymal elements creating abnormal tissue structures. Understanding composite formations like odontomas is essential for effective diagnosis and treatment planning.

4) Science (Scientific):
The keyword 'Science' relates to the systematic study of the natural world, encompassing disciplines such as medicine or dentistry. In this case, the scientific investigation of odontomas is critical, as it involves understanding their biology, pathology, and the treatment modalities that can be used for effective management. This includes rigorous clinical research and data analysis.

5) India:
'India' may refer to the geographical context in which a case study has been reported or specific regional practices in diagnosing and treating odontomas. Considering regional differences is vital as it influences healthcare outcomes, availability of resources, and cultural beliefs regarding dental treatments. This aspect underscores the importance of localized research in global dental science.

6) Renu:
The term 'Renu' could pertain to an individual involved in the study, either as a researcher, practitioner, or patient. Identifying contributors like Renu is crucial as it provides insight into the personal experiences and clinical decisions that shape patient management. Such mentions personalize the research and enhance the narrative within scientific discussions.

7) Mina:
Similar to 'Renu', the term 'Mina' may refer to a person related to the study, possibly a researcher or participant. Individuals like Mina contribute to the clinical insights that lead to greater understanding and knowledge dissemination about odontomas. Highlighting participants exemplifies the real-world implications of scientific research in dental practices.

8) Discussion:
The keyword 'Discussion' relates to the part of scientific articles where findings are interpreted and contextualized within existing literature. It serves as a platform for analyzing results, exploring their implications, and proposing recommendations. A robust discussion about odontomas can lead to improved guidelines for diagnosis and treatment strategies in clinical applications.

9) Account:
In a research context, 'Account' refers to a detailed narrative or report of a particular case or phenomenon, often discussed in case studies. Providing an accurate account of odontomas, including individual experiences and treatment outcomes, enriches the understanding of their clinical presentation and informs future studies and practices in dentofacial therapies.

10) Reason:
'Reason' pertains to the underlying causes or justifications for observed phenomena within scientific studies. In the case of odontomas, understanding the reasons behind their formation is essential for developing treatment protocols. The exploration of various factors such as hereditary, traumatic, or developmental influences contributes significantly to enhanced diagnostic accuracy and preventive approaches.

11) Blood:
In a medical context, 'Blood' may refer to the vital biological fluid involved in numerous physiological processes. Although it may not directly relate to odontomas as the core topic, blood tests and evaluations are commonly necessary prior to surgical procedures to ensure patient safety and preparedness, impacting overall treatment protocols in dentistry.

12) Pose:
The term 'Pose' in medical literature may imply a challenge or difficulty that arises during diagnosis or treatment. For odontomas, the presence of such tumors could pose significant clinical concerns, including complications related to tooth eruption, impaction, or potential misdiagnosis. Recognizing these challenges is crucial for developing effective clinical pathways.

13) Post:
The keyword 'Post' usually relates to follow-up care or outcomes after a particular treatment or procedure. In odontoma cases, post-treatment evaluations are critically important to ensure successful recovery and monitoring for potential recurrences. Continuous follow-up contributes to the understanding of long-term impacts of odontoma interventions in pediatric patients.

14) Male:
The term 'Male' refers to a demographic factor in studies related to odontomas, as certain types of odontomas may exhibit gender predilections, influencing how research findings are interpreted. Understanding the gender-based differences in occurrence and treatment response can lead to more tailored approaches in clinical practice.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Compound Odontoma in Anterior Mandible—A Case Report’. Further sources in the context of Science might help you critically compare this page with similair documents:

Diagnosis and treatment, Follow-up, Case report, Retrospective study, Surgical Procedure, Local anaesthesia, Histopathological examination, Retrospective Analysis, Primary teeth, Surgical Site, Surgical exposure, WHO Classification, General anaesthesia, Surgical enucleation, Odontogenic tumour, Dental check-up, Mucoperiosteal flap, Posterior mandible, Dental lamina, Anterior mandible, Neoplasm, Dental clinic, Primary dentition, Genetic component, Odontogenic tumor, Dental examination, Pre operative investigation, Impacted tooth, Anterior maxilla, Hard tissue formation, Complex type, Odontogenic epithelium, Mixed dentition, Ameloblastic fibro-odontoma, Complex odontoma, Gender predilection, Dental Development.

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