An update on the combined surgical and orthodontic treatment of complex odontoma among growing patients young patients

Abstract

Complex odontomas are benign odontogenic hamartomas that frequently hinder the eruption of permanent teeth in growing individuals. Therefore, it is of interest to evaluate the clinical effectiveness of a coordinated surgical and orthodontic treatment protocol in 20 patients aged 8-16 years diagnosed with complex odontomas. Surgical excision was followed by orthodontic intervention to facilitate eruption and alignment of impacted teeth. Successful eruption was observed in 90% of cases within 6-12 months, with favourable alignment outcomes and no recurrence over the 12-month follow-up. These findings affirm the value of early diagnosis and interdisciplinary management in optimizing functional and esthetic outcomes in pediatric patients with complex odontomas.

Keywords: Complex odontoma; dental anomalies; dental radiology; growing patients; impacted teeth; interdisciplinary dental treatment; maxillofacial surgery; mixed dentition; odontogenic tumor; odontoma eruption guidance; orthodontic management; orthodontic traction; pediatric dentistry; surgical enucleation; tooth eruption.