During a screening examination for orthodontic evaluation and for possible partial anodontia, a large radiopaque mass was found in the right maxillary sinus of a 12-year-old boy. Further radiographic views were used to locate and establish a working diagnosis. The mass was removed with use of a standard Caldwell-Luc approach. It was diagnosed histologically as a complex odontoma.
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Cureus
November 2024
Pediatric Dentistry, Security Forces Hospital, Mecca, SAU.
Odontomas are the most prevalent odontogenic tumors, often classified as hamartomas due to their slow growth and non-aggressive nature. Typically asymptomatic, they can obstruct the eruption of adjacent teeth. While the exact causes of odontomas remain unclear, potential factors include local trauma, infection, growth pressure, and hereditary influences.
View Article and Find Full Text PDFJ Oral Pathol Med
January 2025
Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Cureus
September 2024
Department of Oral Pathology, Kothiwal Dental College and Research Centre, Moradabad, IND.
Complex odontoma is a benign odontogenic tumor composed of disorganized dental tissues, including enamel, dentin, cementum, and pulp. Unlike compound odontomas, which exhibit tooth-like structures, complex odontomas form a mass without anatomical organization. These tumors frequently present without symptoms and are typically identified inadvertently during standard dental imaging procedures.
View Article and Find Full Text PDFAm J Surg Pathol
October 2024
Department of Oral Pathology, Peking University School and Hospital of Stomatology.
Ameloblastic fibroma (AF) and related lesions, namely ameloblastic fibrodentinoma (AFD) and ameloblastic fibro-odontoma (AFO), span a spectrum from true neoplasms to hamartomas. The 2017 World Health Organization classification proposes that AFD and AFO are precursors to odontomas, yet their precise nature remains uncertain. This study examined 19 AF cases, 4 AFD, 15 AFO, 19 odontomas (OD, 14 complex, 5 compound), and 2 ameloblastic fibrosarcomas (AFS), focusing on clinical characteristics, recurrence, and molecular profiles.
View Article and Find Full Text PDFEur J Paediatr Dent
December 2024
Dentistry Unit, Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
Background: Odontomas are the most common odontogenic tumours, often considered hamartomas rather than true neoplasms. These mixed tumours consist of fully differentiated dental tissues, including enamel, dentin, cementum, and pulp. Odontomas can be classified into compound and complex types.
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