ALVES, E. F.; http://lattes.cnpq.br/2121580652446143; ALVES, Emanuelle Ferreira.
Resumen:
Traumatic bone cyst (TBC) is a pseudocyst that usually presents
asymptomatically and is found frequently in routine exams. Another lesion also
present in the jaws is odontoma. The odontoma is divided into two subtypes,
the compound and the complex; odontomas are usually discovered as an
accidental finding, since they do not present symptomatology. The present
article aims to report an unusual case of a TBC associated with a composite
odontoma. A 16-year-old male patient attended the Clinic School of Dentistry of
the Universidade Federal de Campina Grande (UFCG), Patos-PB campus,
referenced by the dentist after identify radiolucent lesion in the anterior region of
the mandible on radiographic examination for orthodontic treatment. During the
anamnesis, the patient did not report any systemic alteration or underlying
disease, but reported trauma in the region affected in childhood. The intra oral
clinical examination, was not observed any increase in volume in the region.
Palpation was performed in the region, and there was no report of pain. When
analyzing panoramic radiography the presence of small calcified structures with
radiopacity similar to dental structures was observed, delimited by a radiolucent
line, suggestive of compound odontoma. To better location, delimitation,
compared with anatomy and surgical planning of the injury, it was requested an
cone beam computed tomography (CBCT). Based on the clinical and
radiographic findings, we opted for a surgical approach to cystic lesion and
enucleation of composite odontoma, under local anesthesia. In the one-year
postoperative period, the patient progresses satisfactorily without clinical
complaints.