MANAGEMENT OF ODONTOMA ASSOCIATED WITH UNERUPTED TOOTH: CASE REPORT

Abstract

Introduction: Odontomas represent the most common type of odontogenic benign jaws tumors among patients younger than 20 years of age. There are two types of odontoma called compound odontoma and complex odontoma. There is no difference in treatment between compound and complex odontomas, however, it needs consideration in treatment so that trauma is minimized and does not cause effects. The aim of this case report is to describe a minimally invasive surgical procedure to remove a complex odontoma localized in the mandible area associated with an unerupted permanent third molar.

Case Report: A case of a 16 years old female came with complained of pain and swelling in the impacted tooth area since 5 months ago with swelling in the unerupted tooth area. Radiographically, there was a lesion located over the impacted tooth a complex odontoma-associated of impacted mandible molar is presented. The patient was diagnosed with an odontoma complex

Methods: The method used in this case is performed with minimally invasive surgical technique is adopted to remove the least amount of bone tissue as far as possible. The result of treatment in this case found a mass of 4 mm in size accompanied by 38 tooth. The prognosis in these patients is ad bonam

Discussion: The purpose of this technique is to preserve as much as possible the surrounding bone tissue in order to promote healing and cause less discomfort to the patient during postoperative time. In this case, it was found that the lesion was located above the unerupted tooth, which is usually in the case of odontoma the lesion was under the unerupted tooth. This technique was chosen because the mass can be removed and the unerupted tooth is removed so that the source of the infection will heal completely without causing recurrence but in this case there is a risk of paresthesia because it is close to the inferior alveolar nerve.

Conclusion: The treatment of choice for complex odontomas is surgical removal, followed by histopathological analysis to confirm the diagnosis. Complications such as fractures root, loose second molar, trauma to the temporo-mandibular joint, mandible fractures and paresthesia must be considered. Adequate knowledge of clinical characteristics is necessary to establish proper diagnosis and management of odontomas.

Keywords: Odontoma, Complex Odontoma, Lesion, Odontogenic Tumor

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