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Diagnóstico e tratamento de um odontoma composto a propósito de um caso clínico
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| Projeto de pós-graduação_41089 | 1.46 MB | Adobe PDF |
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Os odontomas são os tumores odontogénicos benignos mais comuns na prática clínica, frequentemente assintomáticos e diagnosticados por meio de exames imagiológicos de rotina. Podem ser divididos em compostos e complexos, sendo os primeiros formados por estruturas semelhantes a dentes, com predileção pela região anterior da maxila. O presente estudo tem como objetivo apresentar um caso clínico de um odontoma composto diagnosticado numa paciente do sexo feminino durante uma consulta de rotina, assim como descrever o plano de tratamento, ato clínico, evolução clínica e caraterísticas imagiológicas da lesão. Trata-se de um estudo descritivo do tipo relato de um caso clínico. Os dados foram obtidos a partir da anamnese, avaliação clínica e radiográfica da paciente. O caso foi selecionado pela descoberta ocasional de um odontoma composto durante uma consulta de rotina, numa paciente sem sintomatologia associada, o que reforça a importância da realização de exames complementares de diagnóstico, permitindo detetar estas alterações precocemente. A abordagem terapêutica consistiu na enucleação cirúrgica da lesão, com remoção dos dentículos que a compunham, seguida de curetagem da área cirúrgica. O procedimento decorreu sem intercorrências, tendo a cicatrização ocorrido adequadamente. Após seis meses de acompanhamento, não foram observados sinais de recidiva ou sintomatologia. Conclui-se que a deteção precoce de odontomas, mesmo em pacientes assintomáticos, é essencial para evitar complicações como retenção dentária e alterações estéticas e funcionais. A Tomografia Computadorizada de Feixe Cónico foi fundamental para um correto diagnóstico e planeamento cirúrgico e a enucleação demonstrou ser uma abordagem terapêutica segura e eficiente para este tipo de lesão.
Odontomas are the most common benign odontogenic tumors in clinical practice, often asymptomatic and diagnosed through routine imaging tests. They can be divided into compound and complex, the former being formed by tooth-like structures with a predilection for the anterior region of the maxilla. This study aims to present a clinical case of a compound odontoma diagnosed in a female patient during a routine consultation, as well as describing the treatment plan, clinical act, clinical evolution and imaging characteristics of the lesion. This is a descriptive case report study. The data was obtained from the patient's anamnesis, clinical and radiographic assessment. The case was selected due to the occasional discovery of a compound odontoma during a routine consultation, in a patient with no associated symptoms, which reinforces the importance of carrying out complementary diagnostic tests, allowing these alterations to be detected early. The therapeutic approach consisted of surgical enucleation of the lesion, with removal of the denticles that made it up, followed by curettage of the surgical area. The procedure was uneventful and healing occurred properly. After six months of follow-up, no signs of recurrence or symptoms were observed. We conclude that early detection of odontomas, even in asymptomatic patients, is essential to avoid complications such as dental retention and aesthetic and functional alterations. Cone-Beam Computed Tomography was essential for correct diagnosis and surgical planning, and enucleation proved to be a safe and efficient therapeutic approach for this type of lesion.
Odontomas are the most common benign odontogenic tumors in clinical practice, often asymptomatic and diagnosed through routine imaging tests. They can be divided into compound and complex, the former being formed by tooth-like structures with a predilection for the anterior region of the maxilla. This study aims to present a clinical case of a compound odontoma diagnosed in a female patient during a routine consultation, as well as describing the treatment plan, clinical act, clinical evolution and imaging characteristics of the lesion. This is a descriptive case report study. The data was obtained from the patient's anamnesis, clinical and radiographic assessment. The case was selected due to the occasional discovery of a compound odontoma during a routine consultation, in a patient with no associated symptoms, which reinforces the importance of carrying out complementary diagnostic tests, allowing these alterations to be detected early. The therapeutic approach consisted of surgical enucleation of the lesion, with removal of the denticles that made it up, followed by curettage of the surgical area. The procedure was uneventful and healing occurred properly. After six months of follow-up, no signs of recurrence or symptoms were observed. We conclude that early detection of odontomas, even in asymptomatic patients, is essential to avoid complications such as dental retention and aesthetic and functional alterations. Cone-Beam Computed Tomography was essential for correct diagnosis and surgical planning, and enucleation proved to be a safe and efficient therapeutic approach for this type of lesion.
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Odontoma composto Diagnóstico Exérese cirúrgica Diagnóstico diferencial Odontoma complexo Compound odontoma Diagnosis Surgical excision Differential diagnosis Complex Odontoma