Remoção cirúrgica de odontoma composto em paciente pediátrico: relato de caso.

Abstract

Introduction: Odontomas are benign odontogenic tumors and the most frequent tumors of the jaw. They are usually associated with permanent dentition in children and young adults, and are generally asymptomatic and may cause dental impingement. The radiographic aspect is of multiple calcifications, similar to the tooth, surrounded by a narrow radiolucent halo, thus, the diagnosis is made through routine radiographic examinations. Objective: The objective of this study is to report a clinical case of a composite odontoma in the maxilla, the surgical planning of which was done using a CT scan. Clinical case report: A 12-year-old male patient was referred to the oral surgery service of the Federal University of Campina Grande, Campus Patos - PB, by the orthodontist. After anamnesis and clinical examination the panoramic radiograph was analyzed, and a radiopaque mass was observed in the anterior region of the maxilla, suggestive of compound odontoma, with dental impactation. Due to the proximity of the lesion with the impacted upper anterior teeth and the location of the element 21, a CT scan was performed with a conical bundle, which facilitated the surgical planning. The procedure was performed without trans and postoperative complications, the patient is progressing satisfactorily. Conclusion: Early diagnosis and intervention of jaw injuries is very important in the future rehabilitation of patients. Cone-beam computed tomography is a complementary exam of great value in the diagnosis of pathologies, as well as in surgical planning, due to the high resolution and accuracy of the images obtained.