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Peripheral, soft tissue odontomas. Two case reports.

J L Giunta¹, M A Kaplan

¹Tufts University School of Dental Medicine, Boston, Mass.

Oral Surgery, Oral Medicine, and Oral Pathology

|March 1, 1990

Summary

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Rare soft tissue odontomas present diagnostic challenges, especially in early growth stages. Surgical removal ensures successful treatment and prevents recurrence of these peripheral tumors.

Area of Science:

Oral pathology
Odontogenic tumors
Soft tissue lesions

Background:

Odontomas are benign odontogenic tumors, typically found within bone.
Peripheral odontomas are rare, developing in soft tissues outside the jawbone.
Understanding their presentation is crucial for accurate diagnosis.

Observation:

Two cases of peripheral, soft tissue odontomas are presented.
Case one, in early growth, lacked radiographic signs and mimicked a periodontal abscess.
Case two, in a mature phase, was identified radiographically.

Findings:

Early-stage peripheral odontomas pose diagnostic difficulties due to absent radiographic features.
Mature peripheral odontomas can be detected using radiography.

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Both cases were successfully treated with excisional biopsy.

Implications:

Highlights the importance of considering soft tissue odontomas in differential diagnoses.
Excisional biopsy is an effective treatment for peripheral odontomas.
Further research may elucidate the distinct growth patterns and diagnostic markers of peripheral odontomas compared to central variants.