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Large Complex Odontoma: A report of a rare entity
Audrey M D'Cruz1, Sushmini Hegde, Urvashi A Shetty
1A. B. Shetty Memorial Institute of Dental Sciences, Nitte University, Mangalore, Karnataka, India;
Sultan Qaboos University Medical Journal
|July 18, 2013
Summary
This study details an unusually large complex odontoma, a rare benign tumor of tooth origin. The lesion in the mandible was surgically removed and confirmed by pathology.
Area of Science:
- Oral pathology
- Odontogenic tumors
- Dental radiology
Background:
- Odontomas are the most common benign odontogenic tumors, comprising 22% of all jaw odontogenic tumors.
- These hamartomatous lesions, composed of mature enamel, dentin, and pulp, are typically slow-growing and diagnosed in the second decade of life.
- They can be compound or complex, classified by their morphodifferentiation and resemblance to normal teeth.
Purpose of the Study:
- To report a rare case of an unusually large, painless, complex odontoma.
- To highlight the diagnostic and management approach for such rare entities.
Main Methods:
- Case report of a patient presenting with a large, painless lesion.
- Diagnostic imaging, including radiological examination.
- Surgical excision of the odontoma.
- Histopathological analysis for definitive diagnosis.
Main Results:
- An unusually large, painless, complex odontoma was identified in the left posterior mandible.
- The odontoma was associated with the absence of the first and second left mandibular molars.
- Histopathological examination confirmed the diagnosis of complex odontoma.
Conclusions:
- Complex odontomas, though rare, can present as unusually large lesions.
- Early diagnosis through radiological examination and confirmation via histopathology are crucial for management.
- This case underscores the importance of considering odontomas in the differential diagnosis of jaw lesions, especially when associated with missing teeth.
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