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Case Reports
. 2019 Jan-Mar;10(1):161-165.
doi: 10.4103/ccd.ccd_463_18.

Multiple Complex Odontomas of the Mandible: A Rare Case Report and Literature Review

João Botelho  1 , Vanessa Machado  1 , João Carvalho Gomes  1 , Gonçalo Borrecho  1 , Paulo Maia  2 , José João Mendes  1 , Francisco Salvado  1   3
Affiliations
Case Reports

Multiple Complex Odontomas of the Mandible: A Rare Case Report and Literature Review

João Botelho et al. Contemp Clin Dent. 2019 Jan-Mar.

Abstract

A 53-year-old female appeared with pain in the right mandible ramus, for the past 9 months, after tooth extraction. Clinical and radiological examination using conventional and advanced computerized tomography diagnostic imaging led to a provisional diagnosis of multiple complex odontomas. Complete conservative excision of the lesion was performed. The clinical diagnosis was confirmed histopathologically. Postoperative period was uneventful with no evidence of recurrence. According to an extensive literature review, this report describes the oldest patient ever diagnosed with multiple odontomas in the literature.

Keywords: Complex odontoma; hamartoma; mandible; multiple odontomas; odontogenic tumor.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Preoperative panoramic radiograph and computerized tomography images. (a) Panoramic radiograph. (b) Coronal plane. (c) Axial plane
Figure 2
Figure 2
Excision procedure. (a) Exposure of both lesions. (b) After nerve localization, it was wrapped with a silicon tube. (c) Excision of the posterior lesion en bloc and extraction of the second left lower premolar. (d) Separation of the anterior lesion in two portions to ease the excision. (e) After removing both lesions, it was possible to preserve a thin portion of buccal bone. (f) Sutures and final aspect
Figure 3
Figure 3
Gross specimens excised
Figure 4
Figure 4
Multiple complex odontomas, microscopic findings. The core exhibits decreased cellularity, smaller fibroblastic nuclei, dispersed and amorphous dentin, dispersed enamel and cementum, and low vascularization (H and E, ×400)
Figure 5
Figure 5
Panoramic radiograph of 14-month follow-up showing no recurrence
See this image and copyright information in PMC

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