A 45-year-old female patient came to our OP with chief complaint of pain in left lower back tooth region for past 6 months. Patient was apparently normal before 6 months, then she developed pain in relation to left lower mandibular region which was dull, intermittent and aggravated on mastication. There was no significant medical or family history. After routine clinical examination, radiographic investigation was planned and explained to patient. Initially IOPA was taken, which revealed well-defined radiopaque mass structure. Then, to know about the exact location and the size of the mass structure, OPG was taken which again revealed well-defined radiopaque structure measuring approximately about 1.5 x 1.5 cm in dimension. Because of pain in that region, biopsy was planned under local anaesthesia and informed consent was obtained from the patient. Then, the mass structure was removed, and the specimen was sent to histopathological examination, which revealed the presence of enamel dentin pulp and cementum suggestive of a complex odontoma. An eccentric odontoma is a hamartomatous lesion or malformation of odontogenic origin, in which both epithelial and mesenchymal cells reveal complete differentiation and all the dental tissues are represented. Though all structures may be present, it will be mostly in a disorderly model not resembling a tooth. 1 The term "odontoma" was coined by Paul Broca in 1867. Broca defined the term as tumours formed by the overgrowth of dental tissue. 2 World Health Organisation (WHO) classified it based upon their gross and radiographic features into compound (small tooth like structures) or complex (a conglomeration of dentin, enamel and cementum). 3 A deformity in which all dental tissues are formed, but taking place in less orderly pattern is complex odontoma. A deformity in which all dental tissues are arranged in a more orderly pattern is compound odontoma. 4
A 55-year-old female patient came to our department with a chief complaint of routine dental checkup and wants to get an age certificate for her company where she works. Intraoral examination revealed calculus and stains were moderate and missing tooth in relation to 15. Radiological investigation was done in which orthopantomograph revealed well-defined radio-opaque areas evident in relation to the periapical aspect of 36 regions measuring about 1 x 1 cm in dimension. Then advanced imaging modality CBCT was taken to know the exact nature and extent, which revealed a small welldefined radio-opaque lesion in the periapical region of 37. Mild inter-dental bone loss was evident in relation to 36, 37 region. Only periodic follow-up and good oral care were advised to the patient. Case-2 A 32-year-old female patient came to our department with a chief complaint of routine dental checkup and wants to get an age certificate for her company where she works. Intraoral examination revealed missing teeth in relation to 26, 46. Radiological investigation was done in which intraoral periapical radiograph revealed mixed radiolucent radioopaque lesion in the periapical aspect of 46, 47 measuring about 2 x 1 cm in dimension. Orthopantomograph revealed mixed radiolucent radio-opaque lesion in the periapical aspect of 36, 37 and 46, 47. Then advanced imaging modality CBCT was taken to know the exact nature and extent, which revealed mixed radio-opaque radiolucent lesion in periapical aspect of 36, 37 and 46, 47 with mild cortical expansion bilaterally in the molar regions. Only periodic follow-up and good oral care were advised to the patient. The most interesting phenomenon in these two patients was that they were both mother and daughter, and both having periapical radiopacities. Familial case of FCOD is extremely rare and as per our knowledge only one familial case has been reported in India.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.