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International journal of odontostomatology

versión On-line ISSN 0718-381X


MARTINOVIC-GUZMAN, Gonzalo et al. Compound Odontoma: Diagnosis and Treatment Therapeutic Measures. Case Reports & Literature Review. Int. J. Odontostomat. [online]. 2017, vol.11, n.4, pp.425-430. ISSN 0718-381X.

Odontomas are the most common benign odontogenic tumors and are composed of dental tissue, odontogenic epithelium and mesenchymal tissue. They are divided into two subtypes: Compound odontomas, which present normal tooth tissue, but an alteration in their conformation and size, and complex odontomas, which present well-formed tooth tissue, but are surrounded by disorganized tissue. A bibliographic review was performed by one operator in Pubmed and Epistemonikos. After filtering by title and abstract, only one systematic review was selected. We present two clinical cases of compound odontoma in female patients at the Military Hospital in Santiago. Patients were referred for evaluation and treatment due to the radiographic finding of compound odontoma. In case # 1, the impacted tooth was disincluded, the remaining temporal tooth was extracted, and excision of the compound odontoma carried out; subsequently a bone graft implant was placed in the remaining socket. In case # 2, the remaining temporal tooth was extracted and compound odontoma excised. After that, natural eruption of the corresponding permanent tooth is expected. In case # 3, tooth 1.8 fenestration and excision of compound odontoma was performed. In this case also, natural eruption of the corresponding permanent tooth is expected. Given the prevalence of this pathology, adequate knowledge of compound odontomas and their characteristics is necessary for proper diagnosis and treatment. There are different therapeutic measures for the rehabilitation of an edentulous area following excision of compound odontoma. This depends mainly on the age of the patient. When rehabilitation measures are required, an important aspect to consider for the patient, is the possibility of a single surgical event, as was done in case # 1.

Palabras clave : compound odontoma; diagnosis; therapeutic.

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