Sanjay Prasad Gupta*
Assistant Professor, Orthodontics and Dentofacial Orthopedics Unit, Department of Dentistry, Tribhuvan University Teaching Hospital, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal
*Corresponding Author: Sanjay Prasad Gupta, Assistant Professor, Orthodontics and Dentofacial Orthopedics Unit, Department of Dentistry, Tribhuvan University Teaching Hospital, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Received: July 14, 2018; Published: August 22, 2018
Citation: Sanjay Prasad Gupta. “Management of Compound Odontoma and Missing Lateral Incisor by Interdisciplinary Approach: A Case Report". Acta Scientific Dental Sciences 2.9 (2018).
Odontomas are hamartomas rather than neoplasms as they are consisted of native tissues to the teeth such as enamel, dentin, cementum and pulp. Generally they are asymptomatic, common odontogenic lesions, which are mostly diagnosed after the second decade of life. Most of the time, Odontomas may leads to the impactions and delayed eruption of succedaneous teeth. Hence, apart from surgical treatment, orthodontic treatment is also the treatment of choice to correct the malocclusion.
A case of 25-year old female presented with the chief complaint of upper spacing with missing lateral incisor on upper right side and peg lateral on upper left side. Radiological evaluation revealed multiple teeth like radiopaque mass in relation to mandibular canine and premolar region. Histopathology revealed the structure to be compound odontoma. This case was managed by interdisciplinary approach that is surgical excision of calcifying structure and orthodontic treatment. In this case, canine was protracted in place of missing lateral incisor and reshaping was done to simulate it with the lateral incisor.
Patients with odontoma, missing lateral incisor and peg-shaped lateral tooth should be treated by interdisciplinary approach to obtain excellent results.
Keywords: Odontoma; Missing Lateral Incisor; Interdisciplinary Approach; Esthetic
Copyright: © 2018 Sanjay Prasad Gupta. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.