Paolo Boffano1, Francesco Cavarra2, Matteo Brucoli3, Muhammad Ruslin4, Tymour Forouzanfar5, Angela Ridwan-Pramana5, Tanía Rodríguez-Santamarta6, Juan Carlos de Vicente6, Thomas Starch-Jensen7, Petia Pechalova8, Nikolai Pavlov9, Iva Doykova10, Vitomir S Konstantinovic11, Zoran Jezdić11, Aude Barrabé12, Aurélien Louvrier12,13, Christophe Meyer12,14, Johanna Snäll15, Jaana Hagström16, Tadej Dovšak17, Anže Birk17, Vincenzo Rocchetti2. 1. Division of Dentistry, Vercelli Hospital, Vercelli, Italy. paolo.boffano@gmail.com. 2. Division of Dentistry, Vercelli Hospital, Vercelli, Italy. 3. Division of Maxillofacial Surgery, University Hospital "Maggiore Della Carità", University of Eastern Piedmont, Novara, Italy. 4. Department of Oral and Maxillofacial Surgery, Hasanuddin University, Makassar, Indonesia. 5. Department of Oral and Maxillofacial Surgery/Oral Pathology, VU University Medical Center, Amsterdam, The Netherlands. 6. Servicio de Cirugía Maxilofacial, Hospital Universitario Central de Asturias, Oviedo, Spain. 7. Department of Oral and Maxillofacial Surgery, Aalborg University Hospital, Aalborg, Denmark. 8. Department of Oral Surgery, Medical University of Plovdiv, Plovdiv, Bulgaria. 9. Clinic of Maxillofacial Surgery, University Hospital "St. George", Plovdiv, Bulgaria. 10. Department of Maxillofacial Surgery, Medical University of Plovdiv, Plovdiv, Bulgaria. 11. School of Dental Medicine, University of Belgrade, Belgrade, Serbia. 12. Department of Oral and Maxillofacial Surgery - Hospital Dentistry Unit, University Hospital of Besançon, Besançon, France. 13. UMR 1098 Interactions Hôte-Greffon-Tumeur/Ingénierie Cellulaire Et Génique, University of Franche-Comté, INSERM, EFS BFC, 25000, Besançon, Besançon, France. 14. EA 4662 Nanomedicine Lab Imagery and Therapeutics, University of Franche-Comté, F-25000 , Besançon, France. 15. Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. 16. Department of Pathology, Research Programs Unit, Translational Cancer Biology, University of Helsinki and HUS Helsinki University Hospital, University of Helsinki, Helsinki, Finland, Helsinki, Finland. 17. Department of Maxillofacial and Oral Surgery of the University Medical Centre, Ljubljana, Slovenia.
Abstract
INTRODUCTION: Odontoma is the most commonly diagnosed odontogenic tumor of the oral cavity. The objective of the present study was to assess the demographic variables, patterns, diagnostic features, and management issues of odontomas treated at several European departments of maxillofacial and oral surgery. MATERIALS AND METHODS: This study was conducted at 8 European departments of oral surgery between January 1, 2004, and December 31, 2018. Only patients with odontomas were included. The following data were recorded for each patient: gender, age, comorbidities, site, size of odontomas, radiographic features, type of odontoma, treatment of odontomas, treatment of associated teeth, complications, and recurrence. RESULTS: A total of 127 patients (70 male and 57 female patients) with odontomas were included. The mean age was 22 years; 71 odontomas were found in the mandible, whereas 56 in the maxilla. In the mandible, the most frequently involved subsite was the parasymphysis, while in the maxilla, the most common subsite was the upper incisor region. The mean size of included odontomas was 15.3 mm. On the whole, 62 complex odontomas, 50 compound odontomas, and 15 mixed-type odontomas were observed. Complete excision of the odontomas was performed in 121 patients. In 24 patients, the extraction of deciduous teeth was performed, and in 43 patients, one or more permanent teeth were removed. Finally, in 9 patients, a partial excision of the odontoma was performed. Recurrence was observed in 4 cases out of 127 patients. CONCLUSIONS: Dental practitioners should be aware of the distinct clinical and radiographic features of odontoma in order to perform an appropriate and early diagnosis. Conventional radiography, such as panoramic radiograph, is often sufficient technique for a diagnosis after clinical suspicion or for an incidental diagnosis to prevent later complications, such as impaction or failure of eruption of teeth.
INTRODUCTION: Odontoma is the most commonly diagnosed odontogenic tumor of the oral cavity. The objective of the present study was to assess the demographic variables, patterns, diagnostic features, and management issues of odontomas treated at several European departments of maxillofacial and oral surgery. MATERIALS AND METHODS: This study was conducted at 8 European departments of oral surgery between January 1, 2004, and December 31, 2018. Only patients with odontomas were included. The following data were recorded for each patient: gender, age, comorbidities, site, size of odontomas, radiographic features, type of odontoma, treatment of odontomas, treatment of associated teeth, complications, and recurrence. RESULTS: A total of 127 patients (70 male and 57 female patients) with odontomas were included. The mean age was 22 years; 71 odontomas were found in the mandible, whereas 56 in the maxilla. In the mandible, the most frequently involved subsite was the parasymphysis, while in the maxilla, the most common subsite was the upper incisor region. The mean size of included odontomas was 15.3 mm. On the whole, 62 complex odontomas, 50 compound odontomas, and 15 mixed-type odontomas were observed. Complete excision of the odontomas was performed in 121 patients. In 24 patients, the extraction of deciduous teeth was performed, and in 43 patients, one or more permanent teeth were removed. Finally, in 9 patients, a partial excision of the odontoma was performed. Recurrence was observed in 4 cases out of 127 patients. CONCLUSIONS: Dental practitioners should be aware of the distinct clinical and radiographic features of odontoma in order to perform an appropriate and early diagnosis. Conventional radiography, such as panoramic radiograph, is often sufficient technique for a diagnosis after clinical suspicion or for an incidental diagnosis to prevent later complications, such as impaction or failure of eruption of teeth.
Authors: G Tricarico; J Rodrigues Orlandin; V Rocchetti; C E Ambrosio; V Travagli Journal: Eur Rev Med Pharmacol Sci Date: 2020-09 Impact factor: 3.507