Delayed Eruption of Permanent Lower Lateral Incisor in Relation to Compound Odontoma: A Case Report
Omar A Bawazir
Citation Information :
Bawazir OA. Delayed Eruption of Permanent Lower Lateral Incisor in Relation to Compound Odontoma: A Case Report. J Contemp Dent Pract 2021; 22 (9):1060-1062.
Aim: To report a delayed tooth eruption following late surgical removal of a compound odontoma in a 10-year-old child.
Background: Odontomas are the most common odontogenic tumors. They are usually asymptomatic and discovered during routine radiographic examinations or during an assessment of delayed tooth eruption. Odontomas are classified into compound or complex based on the microscopic structure of dental tissues. Early diagnosis and surgical removal of odontomas is the keyword for favorable results.
Case description: This paper describes a case of compound odontomas in a 10-year-old boy that prevented eruption of the permanent mandibular lateral incisor. Extraction of mandibular primary lateral incisors and surgical excision of the compound odontomas was performed. After 3 years of follow-up, at the age of 13 years, the permanent lateral incisor erupted and approached the occlusal plane.
Conclusion: Late surgical removal of odontomas resulted in a delayed eruption of the affected teeth.
Clinical significance: Surgical removal of odontomas and regular follow-up to monitor the eruption of the affected teeth should be considered for the teeth with an open apex before considering orthodontic traction.
Shafer WG, Hine MKLB. Cysts and tumors of the jaws. In: A textbook of oral pathology. 5th ed. Philadelphia: WB Saunders Co; 2005. p. 305–317.
El-Naggar AK, Chan JKC, Grandis JR. WHO classification of head and neck tumours. In Lyon: IARC; 2017. p. 204–260.
Budnick SD. Compound and complex odontomas. Oral Surg Oral Med Oral Pathol 1976;42(4):501–506. DOI: 10.1016/0030-4220(76)90297-8. Available from: https://linkinghub.elsevier.com/retrieve/pii/0030422076902978.
Hitchin AD. The aetiology of the calcified composite odontomes. Br Dent J 1971;130(11):475–482. DOI: 10.1038/sj.bdj.4802682. Available from: http://www.nature.com/articles/4802682.
Patil S, Rahman F, Tipu SR, et al. Odontomas: review of literature and report of a case. Oral Maxillofac Pathol J 2012;3(1):1–4. Available at: http://ompj.org/files/aeb864997d1ee10797b3641d8e225820-Santosh.pdf
Katz RW. An analysis of compound and complex odontomas. ASDC J Dent Child 1989;56(6):445–449. Available at: https://www.aapd.org/globalassets/media/publications/jdc-archives/asdc-nov-dec-1989-v56no6.pdf
Owens BM, Schuman NJ, Mincer HH, et al. Dental odontomas: a retrospective study of 104 cases. J Clin Pediatr Dent 1997;21(3): 261–264. Available at: https://meridian.allenpress.com/jcpd
Tomizawa M, Otsuka Y, Noda T. Clinical observations of odontomas in Japanese children: 39 cases including one recurrent case. Int J Paediatr Dent 2005;15(1):37–43. DOI: 10.1111/j.1365-263X.2005.00607.x.
An SY, An CH, Choi KS. Odontoma: a retrospective study of 73 cases. Imaging Sci Dent 2012;42(2):77–81. DOI: 10.5624/isd.2012.42.2.77.
Lee CH, Park GJ. Complex and compound odontomas are clinico-pathological entities. Basic Appl Pathol 2008;1(1):30–33. DOI: 10.1111/j.1755-9294.2008.00008.x.
Waldron A. Odontogenic cysts and tumours. In: Neville B, editor. Oral and maxillofacial pathology. 2nd ed. Philadelphia, PA, USA: WB Saunders; 2002. p. 631–632.
Ashkenazi M, Greenberg BP, Chodik G, et al. Postoperative prognosis of unerupted teeth after removal of supernumerary teeth or odontomas. Am J Orthod Dentofac Orthop 2007;131(5):614–619. DOI: 10.1016/j.ajodo.2005.09.032.
Liu JK, Hsiao CK, Chen HA, et al. Orthodontic correction of a mandibular first molar deeply impacted by an odontoma: a case report. Quintessence Int (Berl) 1997;28(6):381–385. Available at: https://www.quintessence-publishing.com/deu/de/journal/quintessence-international/1997/06.
Bereket C, Çakir-Özkan N, Şener I, et al. Complex and compound odontomas: analysis of 69 cases and a rare case of erupted compound odontoma. Niger J Clin Pract 2015;18(6):726–730. DOI: 10.4103/1119-3077.154209.
Hisatomi M, Asaumi JI, Konouchi H, et al. A case of complex odontoma associated with an impacted lower deciduous second molar and analysis of the 107 odontomas. Oral Dis 2002;8(2):100–105. DOI: 10.1034/j.1601-0825.2002.1c778.x.
Morning P. Impacted teeth in relation to odontomas. Int J Oral Surg 1980;9(2):81–91. DOI: 10.1016/S0300-9785(80)80043-3.
Harijadi A. Early removal of odontoma resulting in spontaneous eruption of the impacted teeth. Dent J 2010;43(2):76. DOI: 10.20473/j.djmkg.v43.i2.p76-80.
