ODONTOMA: SURGICAL APPROACHES AND CONSIDERATIONS IN CLINICAL MANAGEMENT
DOI:
https://doi.org/10.56238/isevmjv4n6-004Keywords:
Odontoma, Odontogenic Tumors, Oral Surgery, Early Diagnosis, Impacted ToothAbstract
Odontoma is the most prevalent benign odontogenic tumor, accounting for approximately 22% of all odontogenic tumors according to the WHO. Classified as compound or complex, these hamartomatous malformations are often asymptomatic and incidentally diagnosed during routine examinations, commonly associated with eruption disturbances such as tooth impaction. This narrative literature review analyzed the surgical approaches and clinical management of these lesions, based on articles published in the last five years in the PubMed database. Accurate diagnosis depends on the correlation between clinical, histopathological, and imaging examinations, with Cone-Beam Computed Tomography (CBCT) being essential for planning in complex cases. The treatment of choice is surgical enucleation, which offers an excellent prognosis and a low recurrence rate. In cases involving associated impacted teeth, a multidisciplinary approach with orthodontic traction is often required. It is concluded that early diagnosis and meticulous surgical planning are essential to minimize complications and preserve adjacent structures.
References
Agarwal, S., Rao, S., Lepcha, J., & Galhotra, V. (2023). Large erupted complex odontoma mimicking maxillary osteomyelitis. BMJ Case Reports, 16, Article e253322. https://doi.org/10.1136/bcr-2022-253322
Akitomo, T., Iwamoto, Y., Kaneki, A., Nishimura, T., Ogawa, M., Usuda, M., Kametani, M., Kusaka, S., Mitsuhata, C., & Nomura, R. (2024). Eruption disturbance in first molar and primary second molar caused by multiple compound odontomas: A case report. Journal of Clinical Pediatric Dentistry, 48(6), 236–242. https://doi.org/10.22514/jocpd.2024.126
Jeevarathan, J., Jananivinodhini, N. C., Ponnudurai, A., Vijayakumar, M., & Chidambaranathan, K. A. (2022). Management of compound odontoma with 70 denticles and impacted lateral incisor over an 8-year follow-up. Journal of Indian Society of Pedodontics and Preventive Dentistry, 40(2), 208–212. https://doi.org/10.4103/jisppd.jisppd_521_21
Johar, H. F., Erlina, Y., & Muttaqin, G. F. (2025). Abordagem multidisciplinar para odontomas complexos em indivíduos em crescimento: Dois casos clínicos. Anais de Ortodontia e Periodontia – Especialidade, 5, 63–74.
Mazur, M., Di Giorgio, G., Ndokaj, A., Jedliński, M., Corridore, D., Marasca, B., Salucci, A., Polimeni, A., Ottolenghi, L., Bossù, M., & Guerra, F. (2022). Characteristics, diagnosis and treatment of compound odontoma associated with impacted teeth. Children, 9(10), Article 1509. https://doi.org/10.3390/children9101509
Muczkowska, N., Czochrowska, E., Masłowska, K., & et al. (2025). Combined surgical and orthodontic treatment of complex odontoma in growing patients: Presentation of two cases. Dentistry Journal, 13(2), Article e82. https://doi.org/10.3390/dj13020082
Nguyen, D. K., & Van Huynh, D. (2023). Clinical and radiological characteristics of odontomas: A retrospective study of 90 cases. Imaging Science in Dentistry, 53(2), 117–126. https://doi.org/10.5624/isd.20230005
Ram, H., Sundaram, E., Katrolia, R., & Gupta, R. (2023). Huge complex composite odontoma of mandible. BMJ Case Reports, 16, Article e254948. https://doi.org/10.1136/bcr-2023-254948
Shinde, S. P., & et al. (2022). Odontogenic tumors: A histopathological overview. MGM Journal of Medical Sciences, 9(3), 258–265. https://doi.org/10.4103/mgmj.mgmj_118_22
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