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All Journal Padjadjaran Journal of Dentistry Indonesian Journal of Dentistry
Medika, Chrisna Ardhya
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Large erupted complex odontoma in posterior mandible: a rare case report Munasyifa, Tazkia; Restiti, Rr Dinar; Epsilawati, Lusi; Medika, Chrisna Ardhya; Rahman, Fadhlil Ulum Abdul; Reza, Ahmad
Padjadjaran Journal of Dentistry Vol 37, No 1 (2025): April 2025 (Supplements 1)
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol37no1.59039

Abstract

Introduction: Complex odontomas are hamartomas composed of randomly arranged dental tissues like enamel, dentin, cementum, and pulp. They typically have limited growth, with only 4.3% that exceed 3 cm in size. Erupted odontomas, which occur when an intraosseous odontoma erupts into the oral cavity, are exceptionally rare. This case report presents a rare case of a large complex odontoma in the posterior mandible of a woman. Case report: A 25-year-old female patient was referred to the Radiology Department with a chief complaint of left jaw swelling persisting for 6 months. Facial asymmetry was noted due to a swelling in the left jaw. Intraoral examination revealed a yellow-brown, irregular, hard mass resembling calculus. Radiographs showed a well-defined, irregular radiopaque mass approximately 6 x 3 cm in size, surrounded by a radiolucent rim. The opacity degree resembled the density of enamel and dentin in some lesion sites. Mandibular left molars were missing. Radiographic findings confirmed a diagnosis of odontoma. The patient was then referred to the Department of Oral Surgery for further management and surgical intervention. Conclusion: Odontomas rarely erupt, but their eruption and large size can lead to significant complications like pain, inflammation, infection, and facial asymmetry. Dentists should be familiar with the characteristics of odontoma to enable prompt and effective management.
A TALE OF TWO OKC’S : CLINICAL INSIGHTS FROM PEDIATRIC AND ADULT PRESENTATIONS Andini, Putri; Epsilawati, Lusi; Pramanik, Farina; Medika, Chrisna Ardhya
Indonesian Journal of Dentistry Vol 5, No 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/ijd.v5i2.18181

Abstract

Background: Odontogenic Keratocyst or OKC is one of the odontogenic cysts of the jaw. Its prevalence is greater in the lower jaw. OKC radiographically appears with unicystic or multicystic lesions. To be able to recognize it in a radiograph is very difficult and sometimes causes difficulties. The most special thing about this lesion is that it has a shallop border, enlarges by walking along the bone and tissue causing resorption of the roots of the involved teeth. Case: there are two cases that have similarities between each other. First case: An 11-year-old girl came to the radiographic installation for a panoramic examination, with swelling in right mandible since 8 months ago. Second case: A 32-year-old woman came to do  a panoramic examination. Patient complaints of swelling in the mucosa of lower mandible since 6 months ago. Both cases were diagnosed as Odontokeratocyst (OKC). Conclusion: OKC basically has a quite different appearance in radiographs. This difference is easily recognized specifically in both cases in children and adults. This difference can be known from the characteristics of the growth type, scallop borders and minimal resorption of the tooth roots. However, OKC has a high recurrence rate. Panoramic radiography is quite capable of showing all the differentiating characteristics needed.
Co-Authors Farina Pramanik Lusi Epsilawati Munasyifa, Tazkia Putri Andini, Putri Rahman, Fadhlil Ulum Abdul Restiti, Rr Dinar Reza, Ahmad