ALMEIDA, C. M.; ALMEIDA, Camila Monteiro de.
Résumé:
An odontoma, considered to be an hamatomatous odontogenic lesion, is divided into
compound and complex, according to the tissues degree of diferentiation, and to the
resemblance with the normal teeth. The majority of the cases is asymptomatic and
found, usually, through routine radiographic exams. The main objective of this study
is to report a case of a complex odontoma associated with an impacted third molar.
The pacient of the masculine sex, age of 23, and led to the Lauro Wanderley
University Hospital, in João Pessoa, Paraíba, to evaluate alteration observed in the
radiographic exam. During the Cone Beam Computed Tomography analysis, it was
detected a radiopaque mass limited by a thin sclerotic halo, associated to the 48
impacted tooth, which suggests a complex odontoma. The proposed treatment
strategy was a surgical enucleation of the lesion and an intentional partial
odontognomy in an associated tooth accomplished in hospital environment, under
general anesthesia. In the tree month postoperative period the procedure was
performed without complications. The surgical planning of maxilomandibular complex
pathologies should be based on the behavior of the lesions. The permanence of
teeth associated with complex odontoma does not appear to be a risk to treatment;
however, clinical studies are needed to confirm this hypothesis.