Large odontome compressing inferior alveolar nerve - A case report
1Department of Oral and Maxillofacial Surgery, Balaji Dental and Craniofacial Hospital, Chennai, Tamil Nadu, India.
Summary
A complex composite odontome caused a painful mandibular swelling and infection in a young female. Surgical removal and rib grafting were required for treatment.
Area of Science:
- Oral and Maxillofacial Surgery
- Odontogenic Tumors
- Pathology
Background:
- Odontogenic tumors can present with complex clinical and radiographic features.
- Accurate diagnosis is crucial for effective management of mandibular pathologies.
Observation:
- A young female presented with a painful mandibular swelling, halitosis, and lip paresthesia.
- Clinical examination revealed cervical lymphadenopathy and a draining sinus.
- Imaging showed a radiopaque lesion with a radiolucent halo, initially suspected as osteomyelitis.
Findings:
- Histopathological examination confirmed the lesion as a complex composite odontome.
- Surgical intervention involved complete removal of the odontome and affected roots.
- Reconstruction utilized an autograft harvested from the rib.
Implications:
- This case highlights diagnostic challenges associated with odontogenic tumors.
- Early and accurate diagnosis is essential to prevent complications like infection and bone destruction.
- Successful surgical management and reconstruction are vital for restoring function and aesthetics.
