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Case report: two nasal floor compound odontomas associated with impacted maxillary incisor
1University of Rome "Tor Vergata", School of Dentistry, Department of Orthodontics, Italy.
European Journal of Paediatric Dentistry
|July 23, 2003
Summary
Early diagnosis and surgical removal of compound odontomas are crucial for preventing impacted teeth. Subsequent orthodontic treatment may be needed to guide unerupted permanent incisors into their correct positions.
Area of Science:
- Dentistry
- Oral Surgery
- Orthodontics
Background:
- Compound odontomas are benign tumors originating from dental tissues.
- Nasal floor odontomas are rare, potentially impacting adjacent structures like permanent teeth.
- Delayed eruption of maxillary incisors can result from odontoma obstruction.
Observation:
- A six-year-old female presented with two nasal floor compound odontomas.
- These odontomas obstructed the eruption pathway of a permanent maxillary incisor.
- Surgical excision of the odontomas was performed.
Findings:
- The impacted maxillary incisor did not erupt spontaneously after odontoma removal.
- A subsequent orthodontic approach was initiated to manage the unerupted incisor.
- The orthodontic treatment aimed to create space and facilitate the tooth's eruption.
Implications:
- Highlights the importance of early diagnosis and surgical intervention for supernumerary teeth like odontomas.
- Underscores the necessity of orthodontic management for impacted teeth following odontoma removal.
- Emphasizes a combined surgical and orthodontic strategy for complex dental eruption disturbances.