TOOTH HAMARTOMA

GEORGE JISS MARY, KUNJMON RENJU M, JAMES JESLIN

Department of Oral Medicine and Radiology, Annoor Dental College and Hospital, Muvattupuzha, Kerala

Received: 17 – 08 – 2022

Revised: 20 – 08 – 2022

Accepted: 26 – 08 -2022

 Address for correspondence: Dr Jiss Mary G, Department of Oral Medicine and Radiology, Annoor Dental College & Hospital, Muvattupuzha, Email ID: jissnoel@gmail.com

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How to cite this article: George J M, Kunjmon R M, James J. Tooth Hamartoma. J Oral Biomed Sci 2022; 1: 101-4

 Key words: Compound Odontome, Hamartoma

A 21 year old male came to the department of oral medicine and radiology with chief complaint of slow growing swelling on left lower jaw since 2yrs. Patient was asymptomatic except for mild swelling on lower left side of face which became apparent only since last 6 months.

On inspection – Mild facial swelling noted on left side; extended from canine to first molar region. On palpation – swelling was painless, hard and non-mobile – with obliteration of vestibule

Radiographic diagnosis – Compound Odontome

 

Fig1 and 2 – PANORAMIC RECONSTRUCTION –MANDIBLE

   

Fig 3 and 4 – Conglomerrate masses of opacifications noted in the lower left mandible with well formed enamel, dentin and pulp space with enlarged follicular space, Maximum dimension Bucco- lingually – 17.6mm, Anteroposteriorly – 20.4mm, Superoinferiorly – 17.0mm

   

Fig 5 and 6 – Thinning of buccal cortical plate with buccal expansion, thinning of lingual cortical plate, compression of inferior alveolar canal

      

Fig 7 – Close proximity of opacification to the periapex of 34, 35 with no root resorption, displacement noted for 34, 35

             

Fig 8 – 3D Reconstructed Image

   

Fig 9 – Well defined hypodense region noted distal to 43 of size 11.5 mm X 12.3 mm involving periapical aspect of 44 with corticated border and mild scalloping, buccal cortical plate expansion and perforation noted, Lingual cortical plate thinning noted, Supernumerary tooth noted apical to 45 with no evident root formation.

     

Fig 10 – 3D Reconstructed Image