The most prevalent type of odontogenic tumours are odontomas, which are typically asymptomatic. This study describes three cases of compound odontomas identified in children as a result of dislodgement or over-retention of primary anterior teeth and/or swelling of the cortical bone. In each of these situations, the lesions were surgically excised. The outcomes obtained show that an early detection of odontomas enables the use of a less expensive and complex treatment and ensures a better prognosis. This article provides in-depth information on the categorization, prevalence, diagnosis, treatment, and epidemiology of odontomas, which interfere with the patterns of tooth eruption and shedding as well as overall occlusion.
Trauma induced periapical lesions often require complex treatment, as conventional root canal therapy poses a high risk of failure due to apical transportation of infection. However, complete crown fractures with a fracture line close to the gingiva or extending subgingivally may require orthodontic extrusion to re-establish the biologic width thereby achieving aesthetic and functional restoration of the tooth. The purpose of this case report is to suggest an alternative treatment approach to achieve healing of periapical lesions and causing extrusion of the teeth by moving the fracture line above the supragingival level for final aesthetic and functional restoration. This case report discusses the management of an anterior tooth with long-standing subgingival fracture and large cyst-like periapical lesion using apicoectomy and orthodontic extrusion with a removable appliance.
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