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01-09-2016 | Original Article

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

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

Published in: Clinical Oral Investigations | Issue 7/2016

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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Title: Clinical parameter of odontoma with special emphasis on treatment of impacted teeth—a retrospective multicentre study and literature review
Authors: Peer W. Kämmerer
Daniel Schneider
Eik Schiegnitz
Sarah Schneider
Christian Walter
Bernhard Frerich
Martin Kunkel
Publication date: 01-09-2016
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 7/2016
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-015-1673-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Objectives

Materials and methods

Results

Conclusion

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusion

Clinical relevance

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