Uso da tomografia computadorizada de feixe cônico para planejamento cirúrgico de odontoma composto.

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.