Related Experiment Videos
Compound odontoma associated with an impacted permanent central incisor
J T Shelton1, B M Owens, N J Schuman
1Department of General Dentistry, University of Tennessee, College of Dentistry, Memphis, USA.
The Journal of the Tennessee Dental Association
|April 1, 1998
Summary
A rare compound odontoma was found in an 11-year-old female during a routine dental exam, impacting unerupted permanent incisor #9. Surgical removal was successful, with orthodontic treatment planned for the impacted tooth.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Pediatric Dentistry
Background:
- Odontomas are benign odontogenic tumors, typically presenting in the second decade of life.
- Etiology remains unknown, with potential links to trauma, infection, or genetic factors.
- Compound odontomas are characterized by the presence of enamel, dentin, and cementum in a disorganized mass.
Observation:
- An 11-year-old female presented with an over-retained primary tooth during a routine dental examination.
- Radiographic evaluation revealed a compound odontoma positioned gingival to an unerupted permanent maxillary left central incisor (tooth #9).
- The odontoma was located apical to the erupted primary central incisor (tooth F).
Findings:
- Surgical enucleation and curettage of the compound odontoma and the overlying primary tooth were performed.
- The extraction site demonstrated uneventful healing post-operatively.
- An orthodontic treatment plan was formulated to address the impacted permanent incisor.
Implications:
- This case highlights the importance of thorough dental examinations in identifying developmental anomalies like odontomas.
- Early diagnosis and surgical intervention are crucial for managing odontomas and preventing complications.
- Orthodontic management may be necessary to align impacted teeth following odontoma removal.