Case Report

Hemimandibulectomy of an extensive complex odontoma in the mandible: a case report

Retno Widayanti , Andri Hardianto, Andri Hardianto, Winarno Priyanto, Kiki A. Rizki

Retno Widayanti
Hemimandibulectomy of an extensive complex odontoma in the mandible: a case report. Email: retnowidayanti99@yahoo.co.id

Andri Hardianto
Departement of Oral and Maxillofacial Surgery, Faculty of Dentistry, Padjadjaran University, Bandung, Indonesia

Andri Hardianto
Departement of Oral and Maxillofacial Surgery, Faculty of Dentistry, Padjadjaran University, Bandung, Indonesia

Winarno Priyanto
Departement of Oral and Maxillofacial Surger, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia

Kiki A. Rizki
Department of Head and Neck Oncology, Faculty of Medicine, Padjadjaran University, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia
Online First: December 01, 2017 | Cite this Article
Widayanti, R., Hardianto, A., Hardianto, A., Priyanto, W., Rizki, K. 2017. Hemimandibulectomy of an extensive complex odontoma in the mandible: a case report. Journal of Dentomaxillofacial Science 2(3): 187-190. DOI:10.15562/jdmfs.v2i3.652


Objective: Odontomas are the most common form of odontogenic tumors of the jaw. They constitute 22% of all odontogenic tumors. Odontomas consist of two types, compound and complex. The compound odontomas contain recognizable enamel, dentin and sometimes cementum, shaped in tooth like structures; whereas complex odontomas are composed of irregular masses of dentin and enamel and have no anatomic resemblance to a tooth.

Methods: A17-year-old female patient came to Department of Oral and Maxillofacial Surgery with a slow growing and asymptomatic swelling in her left mandible. The panoramic radiograph showed a radioopacity and radiolucent lesion, with well-corticated limits. The radioopaque area was amorphous, circumscribed by a thin and irregular radiolucent halo. An inscisional biopsy confirmed the lesion as a complex odontoma. The surgery performed was hemimandibulectomy followed by a reconstruction using a plate under general anesthesia.

Results: Complexodontomas are most likely to be found in the posterior region of the maxilla or the mandible and can be treated with a simple enucleation and curettage. In this case report the hemimandibulectomy was performed due to the extensiveness of the mass.

Conclusion: Surgical removal of large complex odontoma with hemimandibulectomy is a rare clinical scenario. The extensiveness of the lesion contributed to its removal technique.

References

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Patil S, Rahman F, Tipu SR, et al. Odontoma: review of literature and report of a case. J Oral Maxillofac Pathol 2012;3: 224-227.

Krichen G. Hentati H, Hadhri R, et al. Odontoma associated with supernumerary and impacted teeth. Int Dent J Students Res 2013;1: 47-52.

Pedro HRS, Tulio HS, Servato JP, etal. Giant complex odontoma of the anterior mandible: Repost of case with long follow up. Br Dent J 2012;23: 597-600.

Vengal M, Arora H, Ghosh S, et al. Large erupting complex odontoma: a case report. J Can Dent Assoc 2007;73: 169-172.


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