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27.11.2015 | Original Article

Clinical parameter of odontoma with special emphasis on treatment of impacted teeth—a retrospective multicentre study and literature review

verfasst von: Peer W. Kämmerer, Daniel Schneider, Eik Schiegnitz, Sarah Schneider, Christian Walter, Bernhard Frerich, Martin Kunkel

Erschienen in: Clinical Oral Investigations | Ausgabe 7/2016

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Abstract

Objectives

Odontoma—separated into complex (CxOD) and compound (CpOD) subtypes—represents the most frequent odontogenic malformation. Retention of permanent teeth is a common symptom. Therefore, in a series of odontomas, an analysis of the management of retained teeth was conducted.

Materials and methods

In a retrospective multicenter study of two University Medical Centers and one private praxis in Germany, demographic and clinical data regarding odontomas from 01/2000–03/2015 were obtained. In particular, the influence of operative therapy on the dentition and on the treatment of impacted teeth was analyzed.

Results

Forty-five patients with 15 CxOD and 30 CpOD were included. Initial symptoms were delayed eruption of permanent teeth (n = 11), pain (n = 4), and swellings (n = 2); 28 cases were discovered by incidence, all of them via panoramic radiographs. The mandible/maxilla ratio was about 1:0.55 (29/16). Thirty-five out of 45 odontomas were in close proximity of at least one tooth (n = 16 at molars). A total of 14 teeth were extracted (CxOD: n = 5; CpOD: n = 9). Extractions had to be conducted more often in older patients (mean age 39.8 vs. 25.6 years). Of the non-extracted teeth, 8 teeth were displaced and retained. Of those, 4 teeth were aligned in the dental arch via orthodontic help and 2 teeth erupted spontaneously after operation during the follow-up period. In all cases, no relapse was seen.

Conclusion

Odontomas can cause displacement as well as malformation and resorption of the adjacent teeth.

Clinical relevance

Mostly, removal of odontomas is conducted. Extirpation of odontoma can allow for normal tooth eruption, often rendering extractions avoidable. Orthodontic alignment, though sometimes challenging, is a reasonable therapeutic option. These findings underline the value of the panoramic radiograph in preventive dentistry in younger patients.

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Titel: Clinical parameter of odontoma with special emphasis on treatment of impacted teeth—a retrospective multicentre study and literature review
verfasst von: Peer W. Kämmerer
Daniel Schneider
Eik Schiegnitz
Sarah Schneider
Christian Walter
Bernhard Frerich
Martin Kunkel
Publikationsdatum: 27.11.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 7/2016
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-015-1673-3

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Clinical parameter of odontoma with special emphasis on treatment of impacted teeth—a retrospective multicentre study and literature review