복합 치아종에 관한 증례보고
Case report: composite odontoma
양호정, 주일로, 김조자, 최형준,
소속 상세정보
양호정 ( ) - 연세대학교
주일로 ( ) - 연세대학교
김조자 ( ) - 연세대학교
최형준 ( ) - 연세대학교
KMID : 0358919950220020528
Abstract
The odontoma is relatively a common odontogenic tumor. It has come to mean as a growth in which both the epithelial and the mesenchymal cell exhibit complete differentiation, with the result that functional ameloblast and odontoblast form enamel
and
dentin. The etiology of it is unknown, buy it has been suggested that local trauma or infection may lead to the production of such a lesion.
Odontoma is divided into 2 types. One is compound odontoma that is at least superficial anatomic similarity to normal teeth, and the other is complex odontoma, that calcified dental tissues are simply an irregular mass bearing no morphologic
similarity
even to rudimentary teeth.
Somtimes thas malformation is not easily idenufied because its lacking of calcification. So, if permanant tooth is delayed to erupt, one should take a careful look the radiographic film to find that whether the cause of it is odontoma or not.
In this case report, 3 patients with odontoma who visited Dept, of Pediatric Dentistry in Yonsei Dental College, were treated by means of surgical removal.
@ES The obtained results were as follows:
@EN 1. The odontoma is usually related to impacted tooth, and it is occurred neighboring to the crown of impacted tooth that have normally developed.
So, in the case of missing tooth and delayed eruption, its presence should be investigated.
2. the odontoma can be seen vaguely radiographically, so, it is difficulty to make diagnosis.
3. The treatment of odontoma is a surgical removal. And, if it is completely removed, its occurrence is rare.
4. In the case of impacted tooth being associated with compound odontoma, continuous management is necessary for the eruption of impacted tooth after the surgical extraction of odontoma.
5. It resembles the ameloblastic odontoma radigraphically, and if it is the case, the treatment may vary, so the confirmation through histologic examination after removal of mass is necessary.
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