Large odontome compressing inferior alveolar nerve – A case report
A young female sought treatment for a painful swelling in the right mandibular posterior region for the past 1 month with severe halitosis and paresthesia of right lower lip. Past history revealed that #46 was impacted due to an odontogenic tumor and an unsuccessful attempt was made to remove the im...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Indian Journal of Dental Research |
| Subjects: | |
| Online Access: | http://www.ijdr.in/article.asp?issn=0970-9290;year=2021;volume=32;issue=1;spage=124;epage=126;aulast=Balaji |
| _version_ | 1818610970922057728 |
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| author | S M Balaji Preetha Balaji |
| author_facet | S M Balaji Preetha Balaji |
| author_sort | S M Balaji |
| collection | DOAJ |
| description | A young female sought treatment for a painful swelling in the right mandibular posterior region for the past 1 month with severe halitosis and paresthesia of right lower lip. Past history revealed that #46 was impacted due to an odontogenic tumor and an unsuccessful attempt was made to remove the impacted teeth and the tumor. A warm, tender, mild extra-oral diffuse swelling with right side cervical lymphadenopathy present. Intra-orally, there was a missing crown of 46 with a diffuse, tender buccal cortical expansion with a draining sinus. Imaging studies revealed a radiopaque lesion with a well-defined and rounded radiolucent halo. A provisional diagnosis of acute suppurative osteomyelitis was made and the remaining roots along with the radio-opaque material removed in toto via an open approach method and the entire area reconstructed with autograft harvested from rib. Histopathologically lesion was diagnosed to be a complex composite odontome. The challenges of diagnosis and the implication are discussed. |
| first_indexed | 2024-12-16T15:22:54Z |
| format | Article |
| id | doaj.art-977ae5a9fe5e49489ef8d13952fee3ed |
| institution | Directory Open Access Journal |
| issn | 0970-9290 1998-3603 |
| language | English |
| last_indexed | 2024-12-16T15:22:54Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Dental Research |
| spelling | doaj.art-977ae5a9fe5e49489ef8d13952fee3ed2022-12-21T22:26:34ZengWolters Kluwer Medknow PublicationsIndian Journal of Dental Research0970-92901998-36032021-01-0132112412610.4103/ijdr.ijdr_115_21Large odontome compressing inferior alveolar nerve – A case reportS M BalajiPreetha BalajiA young female sought treatment for a painful swelling in the right mandibular posterior region for the past 1 month with severe halitosis and paresthesia of right lower lip. Past history revealed that #46 was impacted due to an odontogenic tumor and an unsuccessful attempt was made to remove the impacted teeth and the tumor. A warm, tender, mild extra-oral diffuse swelling with right side cervical lymphadenopathy present. Intra-orally, there was a missing crown of 46 with a diffuse, tender buccal cortical expansion with a draining sinus. Imaging studies revealed a radiopaque lesion with a well-defined and rounded radiolucent halo. A provisional diagnosis of acute suppurative osteomyelitis was made and the remaining roots along with the radio-opaque material removed in toto via an open approach method and the entire area reconstructed with autograft harvested from rib. Histopathologically lesion was diagnosed to be a complex composite odontome. The challenges of diagnosis and the implication are discussed.http://www.ijdr.in/article.asp?issn=0970-9290;year=2021;volume=32;issue=1;spage=124;epage=126;aulast=Balajiodontomaosteomyelitisimpacted first molardiagnostic challenge |
| spellingShingle | S M Balaji Preetha Balaji Large odontome compressing inferior alveolar nerve – A case report Indian Journal of Dental Research odontoma osteomyelitis impacted first molar diagnostic challenge |
| title | Large odontome compressing inferior alveolar nerve – A case report |
| title_full | Large odontome compressing inferior alveolar nerve – A case report |
| title_fullStr | Large odontome compressing inferior alveolar nerve – A case report |
| title_full_unstemmed | Large odontome compressing inferior alveolar nerve – A case report |
| title_short | Large odontome compressing inferior alveolar nerve – A case report |
| title_sort | large odontome compressing inferior alveolar nerve a case report |
| topic | odontoma osteomyelitis impacted first molar diagnostic challenge |
| url | http://www.ijdr.in/article.asp?issn=0970-9290;year=2021;volume=32;issue=1;spage=124;epage=126;aulast=Balaji |
| work_keys_str_mv | AT smbalaji largeodontomecompressinginferioralveolarnerveacasereport AT preethabalaji largeodontomecompressinginferioralveolarnerveacasereport |