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SCHOOL OF DENTISTRY
PRESENTED BY:
DMD-4A (Group 3)
ODONTOMAS
ETIOLOGY OF ODONTOMA
PATHOPHYSIOLOGY
ORAL
EPITHELIUM
INITIATION OF TOOTH
FORMATION
PATHOPHYSIOLOGY
ENAMEL ORGAN CONSISTS OF
PERIPHERALLY LOCATED LOW
COLUMNAR CELLS AND CENTRALLY
LOCATED POLYGONAL CELLS
INCOMPLETE
FORMATION OF TOOTH
FORMATION OF SMALL
ASYMPTOMATIC CALCIFIED
A.
TOOTH
IMPACTION
S.O.A.P
LACK OF MULTIPLE
TEETH/ EDENTULISM
1. CHIEF COMPLAINT:
Not applicable
2. HISTORY OF PRESENT ILLNESS:
The patient was admitted to the faculty of dentistry, Cukurova University,
Adana, Turkey on June 11. His general dentist referred the patient due to
the lack of multiple teeth and presence of tooth-like structures with caries
detected clinical and radiographic examination.
3.
4. REVIEW OF SYSTEMS:
A debile looking male with advanced sight disorder
5.
6.
OBJECTIVE
1. Extra-oral
- No paresthesia or pain
- Debile-looking male with advance sight disorder
- No swelling or cervical lympadenopathy
2. Intra-oral
- No paresthesia or pain
- Edentulism of posterior segment of maxilla and mandible
- Tooth-like structures penetrating the oral mucosa were apparent in the
anterior regions of the maxilla and mandible
3. Radiograph
- Multiple diffuse tooth-like opacities occupying the maxilla and the
mandible as well as both maxillary sinuses
- Posterior teeth were impacted due to the present calcified lesions
4. Cone beam Computed Tomography
- Masses occupied the basal and alveolar parts of the mandible at the
parasymphisis and body parts bilaterally
- Maxillary premolar and molar regions were occupied by the masses
- The masses extend to the rim of the orbita cavity superiorly and
bilaterally without significant extraosseous expansion
5. Incisional Biopsy
6. Histopathologic examination
- Showed dentin, cementum, enamel and pulp tissues arranged in a toothlike order
ASSESSMENT
Final Dental Diagnosis: Compound odontoma involving the for quadrants of
the jaws
Initial Dental Diagnosis: Compound odontoma involving the four quadrants
of the jaws
Medical Diagnosis: Mild Mental Retardation and severe myopia
Medical Differential Diagnosis: Gardeners Syndrome; Cleidocranial
Dysplasia
PLAN
CLINICAL FEATURES
C.
Tooth-like structures with caries penetrating the oral mucosa were apparent
in the anterior regions of the maxilla and mandible.
No extra oral swelling
No cervical lymphadenopathy
RADIOGRAPHIC FEATURES
PANORAMIC RADIOGRAPH
Multiple and diffuse tooth-like opacities occupying the maxilla and the
mandible as well as both maxillary sinuses
The posterior teeth were impacted due to these lesions
HISTOPATHOLOGIC FEATURES
E.
b.
No gender predilection
May cause jaw expansion
Asymptomatic
Well defined with hyperostotic margin
Unilocular to multilocular
Often associated with an unerupted tooth
Ameloblastic fibro-odontoma has opaque
component(s) related to enamel and dentin in
the odontoma component
Adenomatoid odontogenic tumor
Narrow age range, 5 to 30 years, with most cases
noted during second decade
Female predilection
Anterior jaw location common
Association with unerupted tooth
Asymptomatic; occasionally produces expansion
alveolar bone
Rarely occurs in gingival soft tissue (peripheral)
May produce root divergence of adjacent teeth
Well defined, unilocular, often adjacent to crown
unerupted tooth
Opaque foci may be scattered within the lucency
snowflake or salt and pepper pattern
of
of
in a
e. Ameloblastic fibro-odontoma