Huge Complex Odontomas in Two Cases with Unique History and Treatment Protocols

Nihat Akbulut

Department of Oral and Maxillofacial Surgery, Gaziosmanpaşa University, Turkey

^*Correspondance to: Nihat Akbulut 

 PDF  Full Text DOI: 10.25107/2474-1647.1888

Abstract

Odontomas are one of the mixed odontogenic tumors. Complex odontomas are a subgroup of odontomas and they usually occur in posterior mandible. We present two cases with huge complex odontomas dealt with surgical treatment approach using radical or conservative options. Case 1 was examined clinically and radiologically using panoramic roentgen and 3D computerized tomography with being one year late. Case 1 was operated using radical surgical approach involving intra-oral and extra-oral technique. In addition, a reconstruction plate was used to strengthen the mandible due to compulsory condition. Case 1 recovered in three years uneventfully. Case 2 was diagnosed based on the same clinical and radiological methods mentioned in Case 1. Unlike, Case 2 was operated using only conservative treatment option since the accompanying impacted tooth could be removed. Practitioners must be careful to make early diagnosis of such lesions in order to avoid radical treatment options or other unnecessary treatments.

Keywords

Complex odontomas; Radical treatment; Conservative treatment; Early diagnosis

Cite the article

Akbulut N. Huge Complex Odontomas in Two Cases with Unique History and Treatment Protocols. Clin Surg. 2018; 3: 1888.