Authors: Bhatavadekar, Neel B.; Bouquot, Jerry E.

Source: Pediatric Dentistry, Volume 31, Number 5, September/October 2009 , pp. 438-441(4)

Publisher: American Academy of Pediatric Dentistry

Abstract:

The odontoma is the most common of all odontogenic tumors. Digital volume tomography (DVT) provides a major advantage of decreased radiation and cost-effectiveness, as compared to a conventional computed tomography. There is no known published report utilizing this DVT analysis for assessing and localizing an odontoma. The purpose of this case report was to document the use of digital volume tomography to assess an unusually large composite odontoma in the mandible. Tomographic sections revealed expansion of the buccal cortex and occasional thinning of both the buccal and lingual cortical plates, although there was no pronounced clinically detectable cortical expansion. The sections further demonstrated enamel and dentin in an irregular mass bearing no morphologic similarity to rudimentary teeth. This case highlights the importance of early diagnosis and intervention for treating an odontoma while demonstrating the value of tomographic imaging as an aid to diagnosis.

Keywords: ORAL PATHOLOGY; RADIOLOGY; ODONTOMA; RADIOGRAPHIC TOMOGRAPHY

Document Type: Case report

Publication date: 2009-09-01

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• Pediatric Dentistry is the official publication of the American Academy of Pediatric Dentistry, the American Board of Pediatric Dentistry and the College of Diplomates of the American Board of Pediatric Dentistry. It is published bi-monthly and is internationally recognized as the leading journal in the area of pediatric dentistry. The journal promotes the practice, education and research specifically related to the specialty of pediatric dentistry. This peer-reviewed journal features scientific articles, case reports and abstracts of current pediatric dental research.
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