Abstract
Introduction
Odontoma is the most commonly diagnosed odontogenic tumor of the oral cavity. The objective of the present study was to assess the demographic variables, patterns, diagnostic features, and management issues of odontomas treated at several European departments of maxillofacial and oral surgery.
Materials and methods
This study was conducted at 8 European departments of oral surgery between January 1, 2004, and December 31, 2018. Only patients with odontomas were included. The following data were recorded for each patient: gender, age, comorbidities, site, size of odontomas, radiographic features, type of odontoma, treatment of odontomas, treatment of associated teeth, complications, and recurrence.
Results
A total of 127 patients (70 male and 57 female patients) with odontomas were included. The mean age was 22 years; 71 odontomas were found in the mandible, whereas 56 in the maxilla.
In the mandible, the most frequently involved subsite was the parasymphysis, while in the maxilla, the most common subsite was the upper incisor region. The mean size of included odontomas was 15.3 mm. On the whole, 62 complex odontomas, 50 compound odontomas, and 15 mixed-type odontomas were observed. Complete excision of the odontomas was performed in 121 patients. In 24 patients, the extraction of deciduous teeth was performed, and in 43 patients, one or more permanent teeth were removed. Finally, in 9 patients, a partial excision of the odontoma was performed. Recurrence was observed in 4 cases out of 127 patients.
Conclusions
Dental practitioners should be aware of the distinct clinical and radiographic features of odontoma in order to perform an appropriate and early diagnosis. Conventional radiography, such as panoramic radiograph, is often sufficient technique for a diagnosis after clinical suspicion or for an incidental diagnosis to prevent later complications, such as impaction or failure of eruption of teeth.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Change history
08 August 2022
A Correction to this paper has been published: https://doi.org/10.1007/s10006-022-01110-w
References
Isola G, Cicciù M, Fiorillo L, Matarese G (2017) Association between odontoma and impacted teeth. J Craniofac Surg 28(3):755–758
Kämmerer PW, Schneider D, Schiegnitz E, Schneider S, Walter C, Frerich B, Kunkel M (2016) Clinical parameter of odontoma with special emphasis on treatment of impacted teeth-a retrospective multicentre study and literature review. Clin Oral Investig 20(7):1827–1835
Levi-Duque F, Ardila CM (2019) Association between odontoma size, age and gender: multivariate analysis of retrospective data. J Clin Exp Dent 11(8):e701–e706
Troeltzsch M, Liedtke J, Troeltzsch V, Frankenberger R, Steiner T, Troeltzsch M (2012) Odontoma-associated tooth impaction: accurate diagnosis with simple methods? Case report and literature review. J Oral Maxillofac Surg 70(10):e516–e520
Soluk Tekkesin M, Pehlivan S, Olgac V, Aksakallı N, Alatli C (2012) Clinical and histopathological investigation of odontomas: review of the literature and presentation of 160 cases. J Oral Maxillofac Surg 70(6):1358–1361
Siriwardena BSMS, Crane H, O’Neill N, Abdelkarim R, Brierley DJ, Franklin CD, Farthing PM, Speight PM, Hunter KD (2019) Odontogenic tumors and lesions treated in a single specialist oral and maxillofacial pathology unit in the United Kingdom in 1992–2016. Oral Surg Oral Med Oral Pathol Oral Radiol 127(2):151–166
Boffano P, Zavattero E, Roccia F, Gallesio C (2012) Complex and compound odontomas. J Craniofac Surg 23(3):685–688
Brucoli M, Garzaro M, Dosio C, Boffano P, Benech A (2020) The surgical management of monostotic fibrous dysplasia of the inferior turbinate. J Stomatol Oral Maxillofac Surg 121(4):457–459
Cavarra F, Tricarico G, Tepedino M, Alhadethi H, Brucoli M, Boffano P, Rocchetti V (2019) Voluminous maxillary radicular cysts removal under local anestesia. Minerva Stomatol 68(4):213–216
Boffano P, Benech R, Roccia F, Gallesio C, Garzaro M, Pecorari G (2013) Review of peripheral giant cell granulomas. J Craniofac Surg 24(6):2206–2208
Boffano P, Gallesio C, Roccia F, Berrone S (2013) Radiographic superimposition and mandibular peripheral osteoma: the importance of clinical and CT findings. J Craniofac Surg 24(2):e141–e142
Dosio C, Romeo I, Franchi S, Boffano P, Brucoli M (2020) The surgical management of an ameloblastoma in a 12-year-old girl. Otorinolaringologia 70(1):11–14
de Medeiros WK, da Silva LP, Santos PP, Pinto LP, de Souza LB (2018) Clinicopathological analysis of odontogenic tumors over 22 years period: experience of a single center in northeastern Brazil. Med Oral Patol Oral Cir Bucal 23(6):e664–e671
El-Naggar AK, Chan JKC, Grandis JR, Takata T, Slootweg PJ (2017) World Health Organization Classification of tumors, 4th Ed. Int Agency Res Can, Lyon, France
Tricarico G, Rodrigues Orlandin J, Rocchetti V, Ambrosio CE, Travagli V (2020) A critical evaluation of the use of ozone and its derivatives in dentistry. Eur Rev Med Pharmacol Sci 24(17):9071–9093
Mohammed H, Rimondini L, Rocchetti V (2018) Molecular basis of trigeminal nerve disorders and healing. Eur Rev Med Pharmacol Sci 22(17):5755–5764
Mohammed H, Varoni EM, Cochis A, Cordaro M, Gallenzi P, Patini R, Staderini E, Lajolo C, Rimondini L, Rocchetti V (2018) Oral dysbiosis in pancreatic cancer and liver cirrhosis: a review of the literature. Biomedicines 6(4):115
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethics approval
Obtained.
Consent to participate
Obtained.
Consent for publication
Obtained.
Competing interests
The authors declare no competing interests.
Additional information
Publisher's note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
The original online version of this article was revised: Originally, the article was published with inverted author name. “Snäll Johanna” should be cited as “Johanna Snäll”.
Rights and permissions
Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Boffano, P., Cavarra, F., Brucoli, M. et al. The epidemiology and management of odontomas: a European multicenter study. Oral Maxillofac Surg 27, 479–487 (2023). https://doi.org/10.1007/s10006-022-01091-w
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10006-022-01091-w