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A developing complex odontome associated with delayed premolar formation.

P Douglas1, P Sloan, G V Gillbe

  • 1Department of Oral Surgery, General Hospital, Burnley.

The British Journal of Oral & Maxillofacial Surgery
|February 1, 1991
PubMed
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A developing odontome caused delayed development of a nearby bicuspid tooth in a teenage patient. This suggests odontomes can disrupt adjacent permanent tooth germ development, not just cause eruption failure.

Area of Science:

  • Dentistry
  • Oral and Maxillofacial Surgery
  • Developmental Biology

Background:

  • Odontomes are benign odontogenic tumors.
  • They commonly impede permanent tooth eruption.
  • Associated developmental disturbances are less understood.

Observation:

  • A 16-year-old male presented with delayed development of a mandibular bicuspid.
  • This was observed radiographically after surgical removal of a developing odontome.
  • The odontome was located in the right premolar region.

Findings:

  • The case showed both failure and marked delay in adjacent permanent tooth germ development.
  • This contrasts with the typical eruption failure associated with odontomes.
  • The odontome appears linked to a regional disturbance of odontogenic tissues.

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Implications:

  • This case highlights a broader impact of odontomes on tooth development.
  • It suggests a possible neonatal-period disturbance affecting odontogenesis.
  • Further research is needed to understand odontome-related developmental field defects.