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Odontoma-associated tooth impaction: accurate diagnosis with simple methods? Case report and literature review
Matthias Troeltzsch1, Jan Liedtke, Volker Troeltzsch
1Institute of Physiology and Pathophysiology, University of Erlangen-Nuremberg, Erlangen, Germany. matthias_troeltzsch@hotmail.com
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.
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