CESAR, P. L. L. A.; http://lattes.cnpq.br/1190554070499633; CESAR, Paula Lorena Lins de Araujo.
Abstract:
Odontomas are benign odontogenic tumors and the most common of the jaws. Are
usually associated with permanent teeth in children and young adults and is usually
asymptomatic, may cause dental impaction. The radiographic appearance is multiple
calcifications, similar to the tooth, surrounded by a narrow radiolucent halo, and the
diagnosis was made by routine radiographic examination. The aim of this paper is to
report a case of excision of a compound odontoma in the maxilla, whose surgical
planning was supported by the use of cone beam computed tomography. Gender
Male patient, 16 years, was referred to the oral surgery department of Faculdade de
Odontologia de Bauru da Universidade de São Paulo (FOB-USP) forwarded by
orthodontist. After anamnesis and clinical examination routine radiography,
radiopaque mass was observed in the anterior maxilla, suggestive of compound
odontoma without dental impaction was performed. Due to the proximity of the roots
of the maxillary anterior teeth cone beam computed tomography was requested,
which facilitated surgical planning. The procedure was performed without
complications and late postoperative period, the patient progressed satisfactorily. The
cone beam computed tomography is a valuable complementary examination in the
diagnosis of diseases, as well as surgical planning, due to the high resolution and
accuracy of the images obtained.