engleski

Large erupting complex odontoma in a dentigerous cyst removed by a piecemeal resection

Odontomas (OD) are the most frequent odontogenic tumors (ODT) in Western societies ; they are often asymptomatic and are usually discovered during routine radiography. A 10-year-old child presented to our department with a 1-week history of painful swelling involving the right mandible and cheek. An intraoral examination revealed a defect of the oral mucosa behind the permanent mandibular first molar (PMFM), which resembled an exposed alveolar bone or tooth remnants. Evaluation clinically and radiographically revealed large erupting OD associated with a dentigerous cyst (DC). We separated the OD into pieces and enucleated it together with the DC in order to preserve the integrity of the mandible and because of the patient’ s age. This is the first report of an erupting OD associated with a DC in a child. Surgical removal might be a challenge when large ODs are encountered.

odontogenic tumor ; erupting complex odontoma ; dentigerous cyst ; piecemeal resection

nije evidentirano