Large Complex Odontoma in the Angulus Mandibulae - Intraoral Enucleation as an Alternative to Mandibular Continuity
Florian Dudde1, Filip Barbarewicz2, Wilken Bergmann2
1Department of Oral and Maxillofacial Surgery, Army Hospital Hamburg, Hamburg, Germany; floriandudde@gmx.de.
In Vivo (Athens, Greece)
|August 26, 2024
Summary
A minimally invasive intraoral approach for large mandibular odontomas offers an alternative to traditional resection. This technique preserves bone, reduces surgical risks like nerve damage, and improves mandibular stability.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Oncology
Background:
- Odontomas are common, slow-growing odontogenic tumors, classified as complex or compound.
- Standard treatment for large mandibular odontomas involves continuity resection and reconstruction.
- Odontomas typically present with minimal symptoms, often discovered incidentally.
Purpose of the Study:
- To describe an alternative minimally invasive intraoral surgical technique for large mandibular odontomas.
- To evaluate the feasibility and benefits of bone preservation in odontoma treatment.
Main Methods:
- A 22-year-old male with a large complex odontoma underwent an intraoral approach with a trapezoidal bone flap for enucleation.
- The procedure involved flap reimplantation and osteosynthesis, avoiding extraoral resection.
- Orthopantomogram was used for diagnosis.
Main Results:
- Successful enucleation of a large complex odontoma from the mandibular angle was achieved.
- The minimally invasive technique avoided the morbidity associated with mandibular continuity resection.
- Bone preservation and flap stability were maintained.
Conclusions:
- An intraoral approach for large mandibular odontomas is a viable alternative to extraoral resection.
- This technique potentially reduces surgical risks such as nerve damage and scarring.
- Bone preservation through this method may enhance long-term mandibular stability.
