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.

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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.