Comparative Evaluation Of Treatment Protocol Of Complex & Compound Odontoma A Retrospective Study.

ABSTRACT

Background & Objective: To document and discuss clinical features, evaluation for need of treatment of 30 radiographically and histopathologically proven cases of compound and complex odontomes of the jaw bones monitored and operated by single surgeon during 5 years. Methodology: A retrospective investigation of 30 cases of compound composite and complex composite odontomes was done. The study was performed using medical records, panoramic radiographs and pathological reports. Data gathered included age/gender, location, chief complaints, effect on dentition and treatment rendered. Results: 16 cases of compound odontoma detected in 1st & 2nd decades of life had 6 accidentally discovered on radiographs and 10 complaining of missing permanent teeth. 14 cases of complex odontoma discovered during 3rd -6th decades , 8 with complaint of the pain & paraesthesia of the affected region and 6 discovered accidentally on radiographs. None of the odontomes showed gender predilection. Considering the state of presentation, associated complaints and possible complications surgical treatment was done in symptomatic patients & asymptomatic patients were kept on follow up. Chi-square test performed was statistically insignificant (Chi Sq=0.089, df=1, p-Value >0.1). Conclusion: Odontoma, a benign odontogenic tumor usually has least propensity towards aggressiveness or malignant transformation. Treatment protocol of individual cases should be customized by considering the presenting complaints ,symptoms & natural progression of the concerned lesion. Considering the above factors, all cases of odontomes need not be surgically removed unless it grows to a potential large size causing gross facial deformities, pain & paraethesia of affected facial region or impaction of multiple permanent teeth.