Resumo

NUNES-DOS-SANTOS, Danila Lorena et al. Large complex odontoma with facial asymmetry: a case report. Rev. cir. traumatol. buco-maxilo-fac. [online]. 2012, vol.12, n.4, pp. 39-44. ISSN 1808-5210.

The odontoma is a tumor of malformation in which enamel, dentin, and sometimes cementum are present. It is the most common odontogenic tumor, accounting for 67% of all odontogenic tumors. It occurs in children, adolescents and young adults. Clinically, these lesions are often asymptomatic and associated with changes in the eruption of the deciduous or permanent teeth. The objective of this study was to report a case of a complex odontoma of substantial proportions in the posterior maxilla with the resulting facial asymmetry. JLD, a 25-year-old male sought treatment in the Department of Traumatology and Maxillofacial Surgery at Getulio Vargas Hospital in Teresina-PI, complaining of facial asymmetry on the left side. The clinical examination revealed a hardened gingival hyperplastic mass with a normal color. The panoramic radiograph showed an oval mixed radiolucent/radiopaque area, causing resorption of roots of the second and third upper left molars. Computed tomography revealed a mixed lesion with partially defined contours. The removal of the tumor was performed by excision biopsy. The histological sections revealed fragments of a benign odontogenic neoplasia, confirming the diagnosis of complex odontoma. The goal is to obtain a satisfactory surgical result with a minimum of complications

Palavras-chave : Pathology; odontoma; maxilla; therapeutics; surgery oral.