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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.