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Published on: August 15, 2025
Large complex odontoma of the left maxillary sinus
Tomislav Cabov1, Marko Krmpotić, Jaksa Grgurević
1Department of Oral and Maxillofacial Surgery, University Hospital Rijeka, School of Dental Medicine, University of Rijeka, Croatia.
Wiener Klinische Wochenschrift
|January 18, 2006
Summary
Odontomas are common odontogenic tumors. This case report details a large complex odontoma in a 23-year-old male, successfully treated with surgery.
Area of Science:
- Dentistry
- Oral Pathology
- Oncology
Background:
- Odontomas are the most common odontogenic neoplasms, characterized by the presence of fully formed enamel, dentin, cementum, and pulp.
- They are typically discovered incidentally during radiographic examinations or when they impede tooth eruption.
- Odontomas are classified into complex and compound types based on the arrangement of dental tissues.
Observation:
- A case of a large complex odontoma involving the left maxilla and maxillary sinus in a 23-year-old male is presented.
- Clinical, radiographic, and histological findings were consistent with a complex odontoma.
- The lesion's size and clinical presentation prompted consideration of benign neoplasms in the differential diagnosis.
Findings:
- The complex odontoma exhibited haphazardly arranged dental tissues without discernible tooth-like structures.
- Histopathological examination confirmed the diagnosis of a complex odontoma.
- Surgical excision was performed as the treatment of choice.
Implications:
- This case highlights the importance of considering odontomas in the differential diagnosis of jaw masses.
- Surgical management is effective for large complex odontomas.
- Recurrence is not anticipated following complete surgical removal.
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