Early removal of odontoma resulting in spontaneous eruption of the impacted teeth

• Main Author: Achmad Harijadi (Author)
• Format: Book
• Published: Universitas Airlangga, 2010-06-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

<p><span style="font-family: Tribune-Bold; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><strong>Background: </strong><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>Compound odontomas in the anterior maxilla during mixed dentition frequently cause obstruction to </em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>the eruption pathway of permanent upper anterior teeth. Removal of the odontomas may or may not lead to spontaneous </em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>eruption of the impacted teeth depending on the age when the surgery is performed, the size of the lesion, and the stage </em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>of tooth development of the involved teeth. </em><span style="font-family: Tribune-Bold; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><strong>Purpose: </strong><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>This paper attempts to emphasize the importance of early removal </em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>of compound odontoma to enable spontaneous eruption of the affected teeth. </em><span style="font-family: Tribune-Bold; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><strong>Case: </strong><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>A case of odontoma in the anterior </em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>maxilla causing failure of eruption and delayed root formation of upper right permanent lateral incisor and canine in a </em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>10-year-old male patient is presented. </em><span style="font-family: Tribune-Bold; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><strong>Case management: </strong><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>The odontoma was surgically removed under general anesthesia </em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>and histology result confirmed the diagnosis of compound odontoma. A three-year post surgical follow up showed </em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>spontaneous eruption as well as continued root formation of the two affected teeth. </em><span style="font-family: Tribune-Bold; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><strong>Conclusion: </strong><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>Removal of odontoma </em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>may lead to spontaneous eruption of the affected teeth if their root development are not completed.</em></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p><p><span style="font-family: Tribune-Bold; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><span style="font-family: Tribune-Bold; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><span style="font-family: Tribune-Bold; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><span style="font-family: Tribune-Bold; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><strong>Latar belakang: </strong><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>Compound odontoma pada daerah anterior maksila pada masa geligi pergantian sering menyebabkan </em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>hambatan erupsi pada gigi permanen penggantinya. Kemungkinan terjadinya erupsi spontan gigi permanen yang impaksi </em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>setelah pengambilan odontoma tergantung dari: umur penderita pada saat dilakukan operasi, ukuran lesi odontoma </em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>dan tahapan perkembangan gigi permanen yang terlibat. </em><span style="font-family: Tribune-Bold; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><strong>Tujuan: </strong><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>Laporan kasus ini ingin menekankan pentingnya </em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>pengambilan compound odontoma sedini mungkin untuk memberi kesempatan tumbuhnya gigi permanen yang terlibat dan </em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>erupsi secara spontan. </em><span style="font-family: Tribune-Bold; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><strong>Kasus: </strong><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>Ditampilkan sebuah kasus compound odontoma pada regio maksila anterior menyebabkan </em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>gagalnya erupsi dan terlambatnya pembentukan akar gigi insisif kedua dan kaninus permanent rahang atas kanan pada </em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>penderita anak laki-laki berumur 10 tahun. </em><span style="font-family: Tribune-Bold; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><strong>Tatalaksana kasus: </strong><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>Dilakukan eksisi odontoma dengan pembiusan umum dan </em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>pemeriksaan histopatologi menunjukkan lesi tersebut adalah compound odontoma. Dalam kurun waktu 3 tahun pasca </em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>pembedahan kedua gigi permanen yang impaksi dapat erupsi sempurna secara spontan disertai dengan berlanjutnya </em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>proses pembentukan akar.
</em><span style="font-family: Tribune-Bold; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><strong>Kesimpulan: </strong><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em>Pengambilan odontoma dapat menyebabkan erupsi secara spontan gigi permanen</em><span style="font-family: Tribune-Italic; font-size: 10pt; color: #231f20; font-style: normal; font-variant: normal;"><em> yang impaksi dengan syarat proses pembentukan akar gigi yang bersangkutan belum selesai.</em></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><br style="font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px;" /></span></span></span></span></span></span></span></span></span></span></p>

Item Description

1978-3728
2442-9740
10.20473/j.djmkg.v43.i2.p76-80