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Case Rep Pediatr. 2014;2014:963962. doi: 10.1155/2014/963962. Epub 2014 Dec 14.

Management of large erupting complex odontoma in maxilla.

Case reports in pediatrics

Colm Murphy, John Edward O'Connell, Edward Cotter, Gerard Kearns

Affiliations

  1. Department of Oral and Maxillofacial Surgery, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland.
  2. Hermitage Medical Clinic, Suite 10, Old Lucan Road, Dublin 20, Ireland.

PMID: 25580339 PMCID: PMC4279725 DOI: 10.1155/2014/963962

Abstract

We present the unusual case of a large complex odontoma erupting in the maxilla. Odontomas are benign developmental tumours of odontogenic origin. They are characterized by slow growth and nonaggressive behaviour. Complex odontomas, which erupt, are rare. They are usually asymptomatic and are identified on routine radiograph but may present with erosion into the oral cavity with subsequent cellulitis and facial asymmetry. This present paper describes the presentation and management of an erupting complex odontoma, occupying the maxillary sinus with extension to the infraorbital rim. We also discuss various surgical approaches used to access this anatomic area.

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