Odontoma
An Odontoma' is a benign, odontogenic tumor with a fibrous capsule that contains all the components of a developing tooth, but is not physiologically organized. Ameloblasts and odontoblasts form an irregular mass.
Division
Odontomas are divided into complex and mixed type. There is a smooth transition between the two variants.
Complex odontoma
- Irregular mass of hard and soft tissues (dentin, enamel, cementum, connective tissue).
- Hard tissues are mature.
- The spherical shape can cause swelling of the jaw.
- There is a fiber sheath on the surface.
- It occurs most often in the area of premolars and molars.
- Active growth occurs during the period of development and maturation of teeth.
- The diagnosis usually occurs in the 1st and 2nd decade.
Mixed odontoma
- Contains a fibrous cover.
- It is composed of a large number of small teeth in the connective tissue.
- Sometimes bone is also present.
- The teeth are deformed, but the enamel − dentin − pulp relationship is recognizable.
Occurrence
- Odontoma occurs in children, young people, more often in women, rather in the mandible.
- It often occurs in the place of a missing tooth, or also as a supernumerary tooth.
Properties
- Limited ability to grow (self limiting).
- Does not cause difficulties.
Treatment
- Treatment is surgical, possibility of recurrence with incomplete removal.
Links
http://old.patologie.info/vip/preparat.php?detail=547
Related Articles
References
- LIŠKA, Karel. Orofacial Pathology. 1. edition. 1983.
- WOTKE, George. Pathology of the orofacial region. 1. edition. Prague : Grada, 2001. pp. 244. ISBN 80-7169-975-6.
