Surgical approach to rare and atypical odontomas in pediatric age

Authors

  • Jéssica Lourenço Stomatology and Maxillofacial Surgery Department, Unidade Local de Saúde de Santo António https://orcid.org/0009-0004-8860-5203
  • Rita Maria Cabral Stomatology and Maxillofacial Surgery Department, Unidade Local de Saúde de Santo António
  • Daniela Alves Pereira Stomatology and Maxillofacial Surgery Department, Unidade Local de Saúde de Santo António
  • Cristina João Cipriano Stomatology and Maxillofacial Surgery Department, Unidade Local de Saúde de Santo António https://orcid.org/0009-0002-6451-7749
  • José Amorim Stomatology and Maxillofacial Surgery Department, Unidade Local de Saúde de Santo António

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v35.i1.36907

Keywords:

agenesis, benign tumors, odontoma, radiograph

Abstract

Odontomas are classified as benign tumors of the jaws.
In pediatric patients, they typically present as solitary intraosseous lesions. These anomalies may be triggered by traumatic, infectious, or genetic factors, and are often associated with the retention of deciduous teeth, delayed eruption of permanent teeth, agenesis, tooth displacement, occlusal changes, and cortical bone expansion.
Radiographically, they appear as radiopaque lesions with well-defined external margins, sometimes surrounded by a radiolucent halo, reflecting their slow growth and non-aggressive behavior.
Surgical planning should be performed with the aid of intraoral and panoramic radiographs, complemented when necessary by computed tomography. Due to the possibility of interfering with normal tooth eruption and the (reduced) risk of associated cystic lesions or secondary tumors, such as ameloblastomas, enucleation with bone curettage is recommended.
The present study aims to describe two cases of atypical presentations of odontomas, along with their surgical approach and follow-up.

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References

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Published

2026-06-05

How to Cite

1.
Lourenço J, Cabral RM, Pereira DA, Cipriano CJ, Amorim J. Surgical approach to rare and atypical odontomas in pediatric age. BGMJ [Internet]. 2026 Jun. 5 [cited 2026 Jun. 6];35(1):38-40. Available from: https://revistas.rcaap.pt/bgmj/article/view/36907

Issue

Vol. 35 No. 1 (2026)

Section

Clinical Case Reports

License

Copyright (c) 2026 Jéssica Lourenço

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