Compound Odontoma with Aesthetic Complaint in a Paediatric Patient
Published: February 1, 2019 | DOI: https://doi.org/10.7860/JCDR/2019/39826.12545
Aline Dos Santos Letieri, Fabio Ribeiro Guedes, Bruno Augusto Benevenuto De Andrade, Oswaldo Costa Neto, Laura Guimarães Primo
1. Master Degree, Department of Paediatric Dentistry and Orthodontics, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
2. Adjunct Professor, Department of Pathology and Oral Diagnosis, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
3. Adjunct Professor, Department of Pathology and Oral Diagnosis, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
4. Assistant Professor, Department of Dental Clinic, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
5. Associate Professor, Department of Paediatric Dentistry and Orthodontics, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Correspondence
Dr. Laura Guimarães Primo,
Professor, Rodolpho Paulo Rocco Street, 325. Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry,
University City. Rio de Janeiro–RJ, Brazil. Postal Code: 21941-913.
E-mail: lprimo@pobox.com
Odontomas are benign mixed odontogenic tumours that are detected during routine radiographs since they are asymptomatic and present a very low growth rate. However, when such lesions are not detected early, it can lead to several alterations. Thus, the present case describes a nine-year-old boy presenting an aesthetic complaint related to the prolonged retention of the primary upper central incisors and slight facial oedema. After clinical and radiographic examination, extracting the retained teeth and completely excising the lesion was proposed. After laboratory tests, the diagnosis confirmed a compound odontoma. During the follow-up, a conservative approach was taken, and the spontaneous eruption of the permanent upper central right incisor was observed. According to the patient’s report, there was an increase in self-esteem and satisfaction with his smile. This case highlights the importance of routine exams to detect issues early and to effectively treat dental changes, such as compound odontoma, reducing the risk of sequelae and improving its prognosis. It is important to note that even paediatric patients can complain about dental aesthetics, which can affect their well-being and emotional state.
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