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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.
Incidental findings of suspect multiple odontomas and impacted supernumerary teeth on panoramic radiograph: a case report Munasyifa, Tazkia; Pramanik, Farina
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 9 No 1 (2025): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Publisher : Ikatan Radiologi Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jrdi.v9i1.1285

Abstract

Objectives: This case report aimed to describe radiographic features of suspect multiple odontomas in an incidental case. Case Report: A 32-year-old man non syndromic patient was referred to the Dental Radiology Unit of RSGM Unpad for panoramic examination. He was complaining about a pain in lower mandible and was clinically diagnosed with an impacted 48. Radiographic findings appeared irregular radiopaque with radiodensity that resembles enamel and dentin, surrounded by a thin radiolucent capsule in the left and right regions body of the mandible. Additionally, there is radiopaque that resembles a para premolar supernumerary tooth, inferior from the lesion to the mandibular cortical bone. Conclusion: In this case, irregular radiopaque areas with radiodensity that resembles enamel and dentin, surrounded by thin radiolucent capsules, were found as the radiographic features that led the radiodiagnosis of odontomas.
Suspect residual cyst at maxilla with sinus maxilaris involvement Damayanti, Merry Annisa; Dhiaulhaq, Rifarana Inayah; Medika, Chrisna Ardhya; Jamil, Nur Aini; Munasyifa, Tazkia
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 9 No 3 (2025): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Publisher : Ikatan Radiologi Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jrdi.v9i3.1329

Abstract

Objectives: This case report aims to describe the radiographic characteristics of residual cysts in the maxilla that extend into the vestibular area and the maxillary sinus, using panoramic and CBCT radiographs. Case Report: An 81-year-old patient presented with a chief complaint of re-swelling after cyst removal under local anesthesia and scraping in 2022. The patient changed doctors and had a CBCT examination as a supporting examination to confirm the diagnosis. The patient had a history of hypertension and cholesterol, so treatment was delayed until now. Clinical examination showed vestibular swelling around the edentulous sites of teeth #13 and 14. Radiological examination showed a well-demarcated and well-defined radiolucency in the maxilla that was aggressive due to its relatively large size, erosion of the buccal cortical bone, and extension into the maxillary sinus. The suspected diagnosis of this case was a residual cyst due to previous treatment, with differential diagnoses of labial cyst, nasopalatine cyst, and radicular cyst. Conclusion: Based on clinical examination, radiography examination by 2D, panoramic, and 3D CBCT, this lesion is radiolucent, leading to a suspected radiodiagnosis of maxillary residual ar cyst with maxillary sinus involvement.