DOI:

10.37988/1811-153X_2024_2_16

Diagnosis and treatment of odontomas in children: literature review and clinical cases

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Authors

  • A.G. Uvarova 1, PhD in Medical Sciences, associate professor of the Oral and maxillofacial surgery Department
    ORCID: 0000-0002-9084-0569
  • K.K. Gasparyan 2, dentist, director
    ORCID: 0000-0002-5690-0011
  • F.S. Ayupova 1, PhD in Medical Sciences, associate professor of the Pediatric dentistry, orthodontics and maxillofacial surgery Department
    ORCID: 0000-0002-4194-664X
  • V.V. Volobuev 1, PhD in Medical Sciences, associate professor of the Pediatric dentistry, orthodontics and maxillofacial surgery Department
    ORCID: 0000-0001-9752-6911
  • A.S. Mosesova 1, assistant at the Pediatric dentistry, orthodontics and Maxillofacial surgery Department
    ORCID: 0000-0001-7267-5064
  • V.N. Lovlin 1, PhD in Medical Sciences, assistant professor of the Oral and maxillofacial surgery Department
    ORCID: 0000-0001-6392-2414
  • 1 Kuban State Medical University, 350063, Krasnodar, Russia
  • 2 Dr. Gasparyan Dentistry, 350033, Кrasnodar, Russia

Abstract

Odontoma is classified as benign odontogenic neoplasms. The prevalence according to the literature reaches 25.5—56.1%. Pathology is often asymptomatic, it is detected accidentally during X-ray examination. At the same time, the size and composition of the odontome are variable. This work is devoted to the features of the location, composition, size, most common in clinical practice of odontomas and surgical treatment tactics. The authors studied the cone beam computed tomography and the results of surgical treatment of 12 patients who sought orthodontic care, in whom an odontoma was detected during a routine examination. We selected 3 clinical cases in which the tactics of complex treatment and the outcome of care were determined by the topography and composition of the odontome.
Conclusions.
The most effective method of diagnosis of odontomas today is cone-beam computed tomography. The tactics of surgical treatment are determined by the peculiarities of the location of the odontoma, in particular, relative to the mandibular canal. The possibility of preserving and orthodontic treatment of a retinated permanent tooth depends on the degree of its formation, the tilt of the tooth axis and the preservation of the alveolar bone.

Key words:

odontoma, cone beam computed tomography, surgical treatment, adolescents

For Citation

[1]
Uvarova A.G., Gasparyan K.K., Ayupova F.S., Volobuev V.V., Mosesova A.S., Lovlin V.N. Diagnosis and treatment of odontomas in children: literature review and clinical cases. Clinical Dentistry (Russia).  2024; 27 (2): 16—21. DOI: 10.37988/1811-153X_2024_2_16

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Received

January 25, 2024

Accepted

May 10, 2024

Published on

June 28, 2024