Diagnosis and treatment of a compound odontoma – a case report

Sara Sobral; Rita Rodrigues; Viviana Macho; Cristina Cardoso Silva

doi:10.62741/ahrj.v3i1.98

Authors

Sara Sobral DMD
Rita Rodrigues DMD, PhD, RISE-Health, Faculdade de Ciências da Saúde, Universidade Fernando Pessoa, Fundação Ensino e Cultura Fernando Pessoa. FP-I3ID, Universidade Fernando Pessoa.
Viviana Macho DMD, PhD, RISE-Health, Faculdade de Ciências da Saúde, Universidade Fernando Pessoa, Fundação Ensino e Cultura Fernando Pessoa. FP-I3ID, Universidade Fernando Pessoa.
Cristina Cardoso Silva DMD, PhD, RISE-Health, Faculdade de Ciências da Saúde, Universidade Fernando Pessoa, Fundação Ensino e Cultura Fernando Pessoa. FP-I3ID, Universidade Fernando Pessoa. CEISUC, Centro de Estudos e Investigação em Saúde da Uni-versidade de Coimbra.

DOI:

https://doi.org/10.62741/ahrj.v3i1.98

Keywords:

Compound Odontoma, Diagnosis, Surgical Excision, Differential Diagnosis, Complex Odontoma

Abstract

Introduction: Odontomas are the most common benign odontogenic tumors in clinical practice, often asymptomatic and diagnosed through routine imaging tests. They can be divided into compound and complex, the former being formed by tooth-like structures with a predilection for the anterior region of the maxilla.

Objectives: This study aims to present a clinical case of a compound odontoma diagnosed in a female patient during a routine consultation, as well as describing the treatment plan, clinical act, clinical evolution and imaging characteristics of the lesion.

Methodology: This is a descriptive case report study. The data was obtained from the patient’s anamnesis, clinical and radiographic assessment. The case was selected due to the occasional discovery of a compound odontoma during a routine consultation, in a patient with no associated symptoms, which reinforces the importance of carrying out complementary diagnostic tests, allowing these alterations to be detected early.

Results: The therapeutic approach consisted of surgical enucleation of the lesion, with removal of the denticles that made it up, followed by curettage of the surgical area. The procedure was uneventful and healing occurred properly. After six months of follow-up, no signs of recurrence or symptoms were observed.

Conclusion: We conclude that early detection of odontomas, even in asymptomatic patients, is essential to avoid complications such as dental retention and aesthetic and functional alterations. Although a single case cannot support definitive recommendations, this report shows that early detection of

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