Avtor/Urednik     Ihan-Hren, N
Naslov     Odontomi in desetletne izkušnje z njimi
Prevedeni naslov     Odontomas: ten-year experience
Tip     članek
Vir     Zobozdrav Vestn
Vol. in št.     Letnik 60, št. 1-2
Leto izdaje     2005
Obseg     str. 51-6
Jezik     slo
Abstrakt     Introduction: Odontomas are the most common odontogenic tumors found in the jaws of children and adolescents. Material and method: We analysed the characteristics of odontomas treated at the Department of Maxillofacial and Oral Surgery, University Medical Centre Ljubljana, in the period 1994-2003. Results: Odontomas were removed from 25 patients. Sixteen tumours were located in the anterior and nine in the posterior segments of the jaws. Seventeen occurred in the maxilla and eight in the mandible. Eleven were compound and 14 complex. Most compound lesions were found in the anterior part of the maxilla, while the complex ones occurred mainly in the posterior part of the mandible. Two tumours were of a mixed type. In one case, the initial diagnosis of odontoma based on radiographic appearance was changed to ameloblastic fibro-odontoma following histological examination. Three cases were diagnosed on the basis of complications associated with the tumour. Two cases were recurrent lesions. Discussion: The number, type and location of the odontomas removed from our patients are in accordance with literature data. The analysis showed the need for early detection and treatment of these tumours. In complex odontomas, histological examination is essential to exclude similar but more dangerous lesions.
Izvleček     Izhodišče: Odontomi so najpogostejši odontogeni tumorji v čeljustnicah otrok in mladostnikov. Material in metoda: Analizirali smo značilnosti in zdravljenje odontomov na Kliničnem oddelku za maksilofacialno in oralno kirurgijo Kliničnega centra v Ljubljani za obdobje 1994-2003. Izsledki: Odontom smo odstranili pri 25 bolnikih; 16 odontomov je bilo v interkaninem, 9 v transkaninem predelu. V zgornji čeljustnici je bilo 17 in v spodnji čeljustnici 8 odontomov; 11 odontomov je bilo sestavljenih, 14 kompleksnih. Sestavljeni odontomi so prevladovali v interkaninem predelu zgornje čeljustnice, kompleksni v transkaninem spodnje čeljustnice. 2 odontoma sta bila mešane oblike, v 1 primeru je patohistološka preiskava spremenila rentgenološko diagnozo odontoma v ameloblastni fibroodontom. V 3 primerih so zapleti v zvezi z odontomom vodili v diagnosticiranje odontoma. 2 primera sta bila ponovitev odontoma. Zaključek: Število, vrsta ter razporeditev odontomov, operiranih na Kliničnem oddelku za maksilofacialno in oralno kirurgijo, so se skladali s podatki v literaturi. Analiza je pokazala, da je potrebno čim zgodnejše odkrivanje in zdravljenje odontomov. Pri kompleksnih odontomih je nujno potrebna patohistološka preiskava, da izključimo podobne, a bolj nevarne patološke spremembe.
Deskriptorji     JAW NEOPLASMS
ODONTOMA
CHILD
ADOLESCENCE