Giant Complex Odontoma of Mandible: A Spectacular Case Report.

Narjiss Akerzoul,Saliha Chbicheb,Wafaa El Wady

doi:10.2174/1874210601711010413

Abstract

Introduction:Odontomas are considered as benign tumors of odontogenic tissue origin and are more over non-aggressive. They can also be categorized as hamartomas and are a result of developmental malformation of odontogenic tissues. As the name suggests, they are composed of mature tooth substances. They possess limited and slow growth potential and are well differentiated. They can be ectodermal, mesodermal or mixed in origin. Mixed variety may be further divided into compound or complex depending upon their radio-graphical resemblance to the tooth. Compound odontomes are reported to be twice more common than complex odontomes. Among them, complex odontomes are asymptomatic unless they cause bony expansion of the jaws.Case Report:This paper aims to report and discuss a case of complex odontoma with unusually large size leading to gross facial asymmetry. Further this paper will highlight the important information the general dental practitioner must possess to diagnose such lesions at an early stage.Conclusion:Odontomas are benign odontogenic tumors with unusually large size leading to gross facial asymmetry. The general dental practitioners must possess the knowledge and important information to diagnose such lesions at an early stage.

Highlights

Odontomas are considered as benign tumors of odontogenic tissue origin and are more over non-aggressive
It is evidenced that most of the time they are of small size, rarely exceeding the size of a tooth with which they are associated [7, 14, 15]. Sometimes they become unusually large in size as presented in this case. They present with alveolar swelling in the jaw leading to facial asymmetry and expansion of the cortical plates
It can lead to malpositioning, deviation or impaction of the adjacent teeth [4, 5, 15, 16]. This was seen in this present case described

Summary

Introduction

Odontomas are considered as benign tumors of odontogenic tissue origin and are more over non-aggressive. They are composed of mature tooth substances They possess limited and slow growth potential and are well differentiated. It is further evidenced that this production of enamel, dentin, cementum as well as pulp is in abnormal fashion [15] It was in 1947 when the term Odontoma was coined by Paul Broca [11, 20, 21]. There is no gender predisposition [12 - 20] These tumors are asymptomatic and non-aggressive and may present with missing teeth from the jaw [14, 15]. While they may present as facial asymmetry in case they achieve a big size [1 - 11]

Objectives

Discussion

Conclusion