Odontoma-associated tooth impaction: accurate diagnosis with simple methods? Case report and literature review

J Oral Maxillofac Surg. 2012 Oct;70(10):e516-20. doi: 10.1016/j.joms.2012.05.030. Epub 2012 Aug 9.

Abstract

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.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Female
  • Humans
  • Mandibular Neoplasms / complications*
  • Molar / pathology*
  • Odontoma / complications*
  • Oral Surgical Procedures
  • Orthodontics, Corrective
  • Patient Care Planning
  • Patient Care Team
  • Radiography, Panoramic
  • Tooth, Impacted / etiology*