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Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection

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Unusual giant complex odontoma: A case report.

N P Bueno¹, M L Bergamini², F M Elias¹

¹Department of Oral and Maxillofacial Surgery, Prosthesis and Traumatology, School of Dentistry, University of Sao Paulo, Sao-Paulo, SP, Brazil.

Journal of Stomatology, Oral and Maxillofacial Surgery

|January 7, 2020

Summary

Giant odontomas, rare complex tumors of dental origin, can cause significant jaw deformities. Early diagnosis and surgical removal are crucial for successful treatment and minimizing complications.

Keywords:

Complex odontoma Giant Odontogenic tumors Surgical removal

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Published on: October 18, 2021

Area of Science:

Dentistry
Oral and Maxillofacial Surgery
Pathology

Background:

Odontomas are the most common benign odontogenic tumors, originating from dental tissues.
They are classified as compound or complex based on histological and radiological features.
Complex odontomas are less common and often present as asymptomatic radiopaque masses.

Observation:

This case report details an unusual, large (giant) complex odontoma in the left mandibular angle and ramus.
The tumor, though benign, had the potential to cause facial asymmetry and compromise bone integrity.
It was discovered during a routine radiographic examination.

Findings:

The giant mandibular odontoma was successfully treated by surgical excision.
Histological examination confirmed the diagnosis of a complex odontoma.
The patient experienced a favorable outcome post-surgery.

Implications:

This case underscores the importance of early diagnosis for odontomas, even when asymptomatic.
Prompt identification and treatment can prevent severe complications like fractures and infections.
Surgical excision remains the primary treatment for symptomatic or large odontomas.