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Stomatologija 2023; 25 (3): 84-8 326 KB

Intraoral surgical treatment of large complex odontoma with technology support in planning

Renato Torres Augusto Neto*, Júlio César Silva de Oliveira*, Luiz Henrique Soares Torres*, Deborah Laurindo Pereira Santos*, Marisa Aparecida Cabrini Gabrielli*, Valfrido Antônio Pereira Filho*

Summary

Complex odontoma or odontogenic hamartoma is the most common odontogenic tumor, diagnosed mainly in the first two decades of life, rarely exceeding 3 cm.

This paper aim is report a clinical case of complex odontoma in the retromolar region that could induce an imminent risk of mandibular fracture. The patient reported local pain, discomfort, an area with hardened edema and absence of the lower right second molar.

Using computed tomography, a three-dimensional model was printed and a mandibular reconstruction plate 2.4 mm pre-bent. Through intraoral access, osteotomy was performed to remove the tumor, the tooth and fixation of the plate. With intraoral access, peripheral osteotomy was performed to remove the tumor and the tooth, then fixed a pre-folded plate.

The odontogenic hamartoma is a benign and asymptomatic tumor, but can reach large proportions until diagnosed. The surgical planning of large complex odontomas in the mandible must be done with carefull, using technological resources when is possible to help predict the treatment, avoid possible complications, better esthetic result, less invasive procedure and better recovery.

Key words: odontogenic hamartoma, odontoma, surgical approach, stereolithographic models, 3-d models.

Received: 14 01 2022

Accepted for publishing: 25 09 2023

*Diagnosis and Surgery Department, School of Dentistry, São Paulo State University (UNESP), Araraquara, SP, Brazil

Address correspondence to Renato Torres Augusto Neto, Diagnosis and Surgery Department, School of Dentistry, São Paulo State University (UNESP), Rua Humaitá, 1680 – Centro, Araraquara, SP, Brazil.

E-mail address: torres.augusto@unesp.br



	Baltic Dental and Maxillofacial Journal

2023, Vol. 25, No. 3 CONTENTS SCIENTIFIC ARTICLE Multiple-tooth autotransplantation patients: Long-term (4–8 years) results of treatment Janne Tiigimäe-Saar 63-70 REVIEW Odontogenic sinusitis: causes, symptoms and treatment. A review of current literature and concepts Žygimantas Petronis, Audra Janovskienė, Ričardas Kubilius, Juozas Žilinskas, Marijus Leketas 71-78 CASE REPORTS Cytological diagnosis of Langerhans cell histiocytosis. Apropos 2 cases Eleni Thodou, Konstantina Papaharalambous, Eleni Lappa, Irini Skliva, Ekaterini Diamanti, Giannis Kokkinakis, Eleni Konsolaki, Dimitrios Tamiolakis 79-83 Intraoral surgical treatment of large complex odontoma with technology support in planning Renato Torres Augusto Neto, Júlio César Silva de Oliveira, Luiz Henrique Soares Torres, Deborah Laurindo Pereira Santos, Marisa Aparecida Cabrini Gabrielli, Valfrido Antônio Pereira Filho 84-88 © 2024 Stomatologija		Stomatologija 2023; 25 (3): 84-8 326 KB Intraoral surgical treatment of large complex odontoma with technology support in planning Renato Torres Augusto Neto, Júlio César Silva de Oliveira, Luiz Henrique Soares Torres, Deborah Laurindo Pereira Santos, Marisa Aparecida Cabrini Gabrielli, Valfrido Antônio Pereira Filho Summary Complex odontoma or odontogenic hamartoma is the most common odontogenic tumor, diagnosed mainly in the first two decades of life, rarely exceeding 3 cm. This paper aim is report a clinical case of complex odontoma in the retromolar region that could induce an imminent risk of mandibular fracture. The patient reported local pain, discomfort, an area with hardened edema and absence of the lower right second molar. Using computed tomography, a three-dimensional model was printed and a mandibular reconstruction plate 2.4 mm pre-bent. Through intraoral access, osteotomy was performed to remove the tumor, the tooth and fixation of the plate. With intraoral access, peripheral osteotomy was performed to remove the tumor and the tooth, then fixed a pre-folded plate. The odontogenic hamartoma is a benign and asymptomatic tumor, but can reach large proportions until diagnosed. The surgical planning of large complex odontomas in the mandible must be done with carefull, using technological resources when is possible to help predict the treatment, avoid possible complications, better esthetic result, less invasive procedure and better recovery. Key words: odontogenic hamartoma, odontoma, surgical approach, stereolithographic models, 3-d models. Received: 14 01 2022 Accepted for publishing: 25 09 2023 *Diagnosis and Surgery Department, School of Dentistry, São Paulo State University (UNESP), Araraquara, SP, Brazil Address correspondence to Renato Torres Augusto Neto, Diagnosis and Surgery Department, School of Dentistry, São Paulo State University (UNESP), Rua Humaitá, 1680 – Centro, Araraquara, SP, Brazil. E-mail address: torres.augusto@unesp.br