Arushi Pandey

Abstract

Introduction: Odontomes are most common type of odontogenic tumors. They are generally asymptomatic and discovered on routine radiographic examinations. Morphological classification of odontomes can be doneas complex and compound odontomes. Here we document a case of a 15 year old boy who attended our dental department with apparent malocclusions. A panoramic radiograph revealed presence of multiple radio opaque masses in maxillary as well as mandibular arches. These structures were seen associated with impacted permanent teeth. The histopathological examination confirmed the diagnosis of them as being complex odontomes. Keywords: Odontogenic tumor, Odontome, Complex, Compound.

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Abstract

Introduction: 0.9 – 12.1% of all cases of ameloblastoma account to be Desmoplastic Ameloblastoma (DA). The presentation of the tumor is often similar to benign fibro-osseous lesions both clinically as well as radiographically. Histologically, DA is made up of small nests and strands of odontogenic epithelium which seem to be compressed by the highly collagenized stroma. We report a case of DA in a 44-year-old female with a mildly painful swelling in the anterior region of mandible. The lesion had a multilocular appearance on both panoramic radiographs as well as in the computed tomography scan. Histologically, the lesion was confirmed to be a case of DA. Regardless of the fact that DA is a rare entity, its aggressive nature binds the clinician to be cautious enough to include DA in the differential diagnosis of any lesion/growth clinically and radiographically mimicking a benign fibro osseous lesion. Keywords: Ameloblastoma, Desmoplasia, Mandible.

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