Stručni rad

Odontomas with an atypical clinical picture

Ivo Miše ; Zavod za oralnu kirurgiju Stomatološkog fakulteta, Zagreb
Goran Knežević ; Zavod za oralnu kirurgiju Stomatološkog fakulteta, Zagreb

Sažetak

In the introductory part the authors mention that the schematic classification of odontomas is rather difficult and not quite safe and opinions vary greatly in this respect. The reason is the fact that odontomas develop from an epithelial or a mesodermal base of a normal or a supernumerary dental germ but they may be mixed as well (epithelial and mesodermal) and develop in different embryonal stages. They have accordingly a different structure, not only in relation to the tissues they are composed of, but also in relation to the cells of these tissues which may be immature or fairly mature. Subsequently the authors mention a clinically appropriate division into soft and firm odontomas, regardless of the histopathological structure. The firm ones are classified into simple and complex odontomas and their clinical picture, which is typical especially for complex odontomas is described. They mention examples of a few odontomas where it was difficult to apply the above mentioned classification, respectively it was uncertain to state whether in fact it was an odontoma on the basis of the clinical picture as it was equally difficult to exclude this possibility. The histopathological findings showed that the assumption of the authors was usually accurate. However, there have been cases where an almost identical clinical picture was once histologically interpreted as an odontoma whereas the next time it was not. The authors conclude that for these reasons a histopathological verification not only of obscure cases was necessary, but of all those cases in which on the basis of the clinical picture ond may assume with certainty that an odontoma is involved and very often an analysis of the insufficiently configurated supernumerary teeth is also necessary.

Ključne riječi

Hrčak ID:

108119

URI

https://hrcak.srce.hr/108119

Datum izdavanja:

15.9.1971.

Podaci na drugim jezicima: hrvatski njemački

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