Simultaneous lesions of complex odontoma associated with dentigerous cyst: case report and critical review in CBCT
Abstract
Objectives: To our knowledge, there is limited evidence reporting cystic lesions associated with odontoma. Therefore, this case report aims to describe the clinical, histological, and particularly the characteristic cone beam computed tomography (CBCT) diagnostic features .Case Report: A 20-year-old male patient presented with a complaint of a lump in the upper right jaw. There was no history of systemic disease. A panoramic radiograph showed a solid radio-opaque mass surrounded by an osteolytic lesion with a radio-opaque margin causing impaction of the maxillary canine. Given the limitations of panoramic radiography in assessing lesion extent, a CBCT examination was performed. Multiplanar reconstruction revealed a well-defined unilocular hyperdense lesion with a hypodense encapsulation and corticated margin, measuring 31.5 x 32 mm, expanding the buccal cortical plate and pushing the upper right canine tooth into the maxillary sinus cavity. The extensive expansion of the lesion required histopathological analysis to confirm the final diagnosis. The histopathological examination concluded a dentigerous cyst.
Conclusion: Several reports in the literature discuss the development of cysts and tumors in the jaw, but some cases are very difficult to identify. The variability of lesions can complicate pattern identification, leading to misinterpretation of conventional radiographs, thus requiring additional CBCT evaluation.
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Rana V, Panthri P, Sharma V. Compound Odontome: A Case Report. Int J Clin Pediatr Dent [Internet]. 2019;12(1):64–7.
Nguyen DK, Van Huynh D. Clinical and radiological characteristics of odontomas: A retrospective study of 90 cases. Imaging Sci Dent [Internet]. 2023;53(2):117-26.
Ohta K, Yoshimura H. Large dentigerous cyst of the mandible. Am J Med Sci [Internet]. 2023;366(1):e9–10.
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Meddeb M, Chokri A, Marzouk M, Bouguezzi A, Sioud S, Hentati H, et al. Dentigerous cyst associated with complex odontoma. Int J Med Res. 2016;1(3):16–8.
MA Sales, MG Cavalcanti, Complex odontoma associated with dentigerous cyst in maxillary sinus: case report and computed tomography features, Dentomaxillofacial Radiology, 2009;38(1):48-52.
Wanjari S, Tekade S, Parwani R, Managutti S. Dentigerous cyst associated with multiple complex composite odontomas. Contemp Clin Dent [Internet]. 2011;2(3):215-7.
Kim KS, Lee HG, Hwang JH, Lee SY. Incidentally detected odontoma within a dentigerous cyst. Arch Craniofacial Surg [Internet]. 2019;20(1):62–5.
Biocic J, Macan D, Brajdic D, Manojlovic S, Butorac-Rakvin L, Hat J. Large Erupting Complex Odontoma in a Dentigerous Cyst Removed by a Piecemeal Resection. Am Acad Pediatr Dent. 2010;32(3):255–9.
Küçükkurt S, Tükel HC, Barış E. A giant mandibular dentigerous cyst associated with a compound odontoma: A case report. Yeditepe Dent J [Internet]. 2018;14(2):131–6.
Sheikhi M, Samandari MH, Karbasi Kheir M, Moaddabi AH. Multiple Dentigerous Cysts With a Complex Odontoma: An Unusual Case Report. Avicenna J Dent Res [Internet]. 2016;8(2):e26050.
Brazão-Silva MT, Guimarães DM, Laranjeira A de L, Andrade VC, Rodrigues DC. Simultaneous occurrence of dentigerous cyst and compound-complex odontoma causing dental impaction. Med (Ribeirão Preto) [Internet]. 2022;55(2):e190763.
Mallya S, Lam E. White and Pharoah’s Oral Radiology: Principles and Interpretation. 5th ed. Elsevier; 2018.
Chindasombatjaroen J, Poomsawat S, Klongnoi B. Calcifying cystic odontogenic tumor associated with other lesions: a case report with cone-beam computed tomography findings. Oral Surg Oral Med Oral Pathol Oral Radiol [Internet]. 2012;113(3):414–20.
Published
2024-08-20
How to Cite
HIDAYAT, Muhammad Fadil; TENRILILI, Andi Nurul Azizah; YUNUS, Barunawaty.
Simultaneous lesions of complex odontoma associated with dentigerous cyst: case report and critical review in CBCT.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 8, n. 2, p. 63-66, aug. 2024.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/1231>. Date accessed: 21 dec. 2024.
doi: https://doi.org/10.32793/jrdi.v8i2.1231.
Section
Case Report
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
