A Rare Case of Compound Odontome with Impacted Tooth: Understanding Clinico-Radio-Histopathological Aspects | Chapter 2 | Achievements and Challenges of Medicine and Medical Science Vol. 6

Odontomes are hamartomatous lesions of odontogenic origin. Odontomas can occur at any age but are typically identified within the first two decades of life. They have been classified under ‘Benign Mixed Epithelial & Mesenchymal Odontogenic Tumors’ by WHO 2022 and categorized into compound and complex types. Odontomes usually have slow growth and benign behaviour and hence, are mostly detected as incidental findings on standard radiographs. Occasionally, they may cause complications such as delayed tooth eruption, impaction, deflection, or retention of teeth. Previous studies have shown only 2% of cases to be associated with the impaction of a deciduous tooth. We hereby report a case of a compound odontoma in a 5-year-old child causing impaction of a deciduous canine. Intraoral examination revealed the presence of unerupted left maxillary deciduous canine (63) and a fairly delineated, dome-shaped swelling in the left maxillary anterior region extending from the distal surface of left maxillary deciduous lateral incisor (62) to the mesial surface of left maxillary deciduous first molar (64), causing obliteration of labial vestibular sulcus. Surgical excision of the mass in toto was performed under general anaesthesia. Despite having limited growth potential, odontomes may lead to complications like cystic change or interference with normal occlusion which necessitates its surgical removal and subsequent periodic monitoring. Thus, regular assessment of dentition is of paramount importance as early diagnosis of odontomas permits simpler, less expensive treatment plans and ensures a better prognosis.

 

Author (s) Details

Anwesha Paul
Department of Oral and Maxillofacial Pathology, Guru Nanak Institute of Dental Sciences and Research, Kolkata, India.

 

Sudeshna Bagchi
Department of Oral and Maxillofacial Pathology, Guru Nanak Institute of Dental Sciences and Research, Kolkata, India.

 

Sk. Abdul Mahmud
Department of Oral and Maxillofacial Pathology, Guru Nanak Institute of Dental Sciences and Research, Kolkata, India.

 

Swapan Kumar Purkait
Department of Oral and Maxillofacial Pathology, Buddha Institute of Dental Sciences & Hospital, Patna, India.

 

Rudra Prasad Chatterjee
Department of Oral and Maxillofacial Pathology, Guru Nanak Institute of Dental Sciences and Research, Kolkata, India.

 

Please see the book here:- https://doi.org/10.9734/bpi/acmms/v6/3273

An Unusual Case Report on Antrochoanal Polyp in Follicular Ameloblastoma of Maxilla| Chapter 7 | Perspective of Recent Advances in Medical Research Vol. 2

 The present case report focal points an Antrochoanal Polyp in an Unusual Case of Follicular Ameloblastoma of Maxilla. A well-known excellent clinical entity famous to have originated from odontogenic containers is the maxillary follicular ameloblastoma. Although ameloblastoma can develop from dental epithelial remnants, it is exceptional for ameloblastoma to develop in the bones of chin with an epicentre from the maxillary antrum alternatively the alveolar process. Here we report a rare performance of this tumor as antrochoanal growth with center of activity in maxillary antrum in a 45-year-granny who bestowed with unusual afflictions of dry cough with a past of 6 months along with hypothyroidism. Interestingly, the presenting manifestation of the patient being only dry cough (without some other nasal syndromes such as nasal blockage, first fullness, first heaviness) is an unusual performance. Ameloblastoma of the maxilla can present early with an antrochoanal polyp, so this condition needs expected considered in the characteristic diagnosis. As a result, careful histological test is essential for early detection and after management by appropriate en-bloc redistribute. Additional meticulous plant structure is also necessary, as it stands careful effect.

Author(s) Details:

Anuja S. Kulkarni,
Department of ENT and Head-Neck Surgery, Jagjivan Ram Hospital, Mumbai, Maharashtra, India.

Mrunal Kesari,
Department of Pathology, Jagjivan Ram Hospital, Mumbai, Maharashtra, India.

Yoganand Patil,
Department of Pathology, Jagjivan Ram Hospital, Mumbai, Maharashtra, India.

Please see the link here: https://stm.bookpi.org/PRAMR-V2/article/view/9015