An: 2018, Nr.2, Articol Nr. 13
RADIOGRAPHIC CHARACTERISTICS OF COMPLEX ODONTOMA LOCATED IN THE POSTER REGION OF UPPER JAW: CASE REPORT AND REVIEW OF LITERATURE
Dorelia Lucia Călin - “Grigore T. Popa” University of Medicine şi Pharmacy, Iaşi, Discipline of Cariology and Restorative Odontotherapy
RADIOGRAPHIC CHARACTERISTICS OF COMPLEX ODONTOMA LOCATED IN THE POSTER REGION OF UPPER JAW: CASE REPORT AND REVIEW OF LITERATURE (Abstract): Odontomas constitute a defect in the development of harsh dental tissues and are classified as benign odontogenic tumors. Odontomas are accidentally detected in radiographic images due to the absence of teeth in the arcade or teeth malposition. This article presents a rare case of intraosseous complex odontoma of large size in the maxilla, located in the region of the maxillary tuberosity in a patient with marked bone expansion and the inclusion of second and third superior molars, focusing on clinical and radiographic aspects.This case report was completed with a revision of the current literature. Orthopanthomography showed a dense radiopaque round mass (approximately 4.5x4.5 cm), well defined, occupying the posterior part of the left maxilla at the level of tuberosity and an impacted maxillary third molar moved to orbit. This opaque area has a higher density than the surrounding bone. A uniform, well-defined, radiopaque halo surrounded the radiopacity representing dental follicular tissue.This halo was surrounded by a thin sclerotic line. A tooth-like hyperdense area was observed inside the lesion. The clinical examination and specific radiographic features allowed the diagnosis of complex odontoma. In conclusion, it is necessary to know the radiographic characteristics of the odontoma for proper diagnosis and appropriate management. Detailed clinical examination and required radiography usually lead to a correct diagnosis.
Key words: COMPLEX ODONTOMA, RADIOGRAPHIC FEATURES, CLINICAL MANIFESTATIONSFull text