Odontoma as a Cause of Prolonged Retention of Primary Tooth: Clinical Case Report
DOI:
https://doi.org/10.21270/archi.v13i9.6461Keywords:
Odontoma, Tooth Impacted, Tooth Deciduous, Odontogenic TumorsAbstract
Prolonged retention refers to the persistence of a primary tooth in the oral cavity beyond the normal period for its exfoliation. Odontomas are benign odontogenic tumors, considered developmental anomalies rather than true neoplasms. The etiology of odontomas is associated with trauma, infections, or pressure, which can disrupt the genetic mechanism responsible for dental development due to the mutation of one or more genes. The aim of this report is to describe a case of prolonged retention of the tooth 51 caused by the presence of an odontoma in the anterior region of the maxilla. A 9-year-old male patient sought care at the Pediatric Dentistry Clinic of the Faculty of Dentistry of Araçatuba (FOA-UNESP) with a complaint of prolonged retention of tooth 51 and swelling in the area. Clinical examination revealed a slight bulge in the area of tooth 51, with no pain or spontaneous bleeding and with normal mucosal coloration. Radiographic examination revealed three radiopaque structures surrounded by a radiolucent halo located between the roots of the permanent upper central and lateral incisors. Initially, the diagnostic hypothesis was a dentigerous cyst, but the radiograph confirmed it to be a compound odontoma. The treatment performed consisted of the surgical removal of the lesion, with preservation of the adjacent dental structures. This case highlights the importance of preventive dental care to allow for less invasive treatment, especially since odontomas are asymptomatic and can lead to prolonged retention of primary teeth and impaction of permanent teeth.
Downloads
References
Aktan AM, Kara I, Sener I, Bereket C, Celik S, Kirtay M, Ciftçi ME, Arici N. An evaluation of factors associated with persistent primary teeth. Eur J Orthod. 2012;34(2):208-12.
Xavier TA. Retenção prolongada de dentes decíduos: possíveis fatores etiológicos locais e sistêmicos. Ribeirão Preto: Faculdade de Odontologia, Universidade de São Paulo; 2016.
Bilodeau EA, Hunter KD. Odontogenic and Developmental Oral Lesions in Pediatric Patients. Head Neck Pathol. 2021;15(1):71-84.
Speight PM, Takata T. New tumour entities in the 4th edition of the World Health Organization Classification of Head and Neck tumours: odontogenic and maxillofacial bone tumours. Virchows Arch. 2018;472(3):331-339.
Maltagliati A, Ugolini A, Crippa R, Farronato M, Paglia M, Blasi S, Angiero F. Complex odontoma at the upper right maxilla: Surgical management and histomorphological profile. Eur J Paediatr Dent. 2020;21(3):199-202.
Tomizawa M, Otsuka Y, Noda T. Clinical observations of odontomas in Japanese children: 39 cases including one recurrent case. Int J Paediatr Dent. 2005;15(1):37-43.
Soluk Tekkesin M, Pehlivan S, Olgac V, Aksakallı N, Alatli C. Clinical and histopathological investigation of odontomas: review of the literature and presentation of 160 cases. J Oral Maxillofac Surg. 2012;70(6):1358-61.
Boffano P, Zavattero E, Roccia F, Gallesio C. Complex and compound odontomas. J Craniofac Surg. 2012;23(3):685-8.
Ferreira PH, Ferreira S, Faverani LP, Ramalho-Ferreira G, del Pilar Rodriguez-Sanchez M, Ávila Souza F, Garcia Júnior IR. Compound Odontoma in a Pediatric Patient With Aspects Similar to Complex Odontoma. J Craniofac Surg. 2015;26(4):1429-31.
Neville BW, Damm DD, Allen CM, Bouquot JE. Patologia Oral e Maxilofacial. 3 ed. Rio de Janeiro: Elsevier; 2009.
Duque C, Caldo-Teixeira AS, Ribeiro AA, Ammari MM, Abreu FV, Antunes LAA. Odontopediatria - Uma Visão Contemporânea. São Paulo: Santos; 2013.
Kämmerer PW, Schneider D, Schiegnitz E, Schneider S, Walter C, Frerich B, Kunkel M. Clinical parameter of odontoma with special emphasis on treatment of impacted teeth-a retrospective multicentre study and literature review. Clin Oral Investig. 2016;20(7):1827-35.
Abdul M, Pragati K, Yusuf C. Compound composite odontoma and its management. Case Rep Dent. 2014;2014:107089.
Levi-Duque F, Ardila CM. Association between odontoma size, age and gender: Multivariate analysis of retrospective data. J Clin Exp Dent. 2019;11(8):e701-e706.
An SY, An CH, Choi KS. Odontoma: a retrospective study of 73 cases. Imaging Sci Dent. 2012;42(2):77-81.
Ashkenazi M, Greenberg BP, Chodik G, Rakocz M. Postoperative prognosis of unerupted teeth after removal of supernumerary teeth or odontomas. Am J Orthod Dentofacial Orthop. 2007;131(5):614-9.
Hisatomi M, Asaumi JI, Konouchi H, Honda Y, Wakasa T, Kishi K. A case of complex odontoma associated with an impacted lower deciduous second molar and analysis of the 107 odontomas. Oral Dis. 2002;8(2):100-5.
Kokich VG, Mathews DP. Surgical and orthodontic management of impacted teeth. Dent Clin North Am. 1993;37(2):181-204.
Mupparapu M, Singer SR, Rinaggio J. Complex odontoma of unusual size involving the maxillary sinus: report of a case and review of CT and histopathologic features. Quintessence Int. 2004;35(8):641-5.
Ćabov T, Fuchs PN, Zulijani A, Ćabov Ercegović L, Marelić S. Odontomas: pediatric case report and review of the literature. Acta Clin Croat. 2021;60(1):146-152.
Satish V, Prabhadevi MC, Sharma R. Odontome: A Brief Overview. Int J Clin Pediatr Dent. 2011;4(3):177-85.
