The diagnosis of odontogenic tumor is usually made on the basis of the patient’s history and clinical examination as well as imaging techniques alone. To confirm the tentative diagnosis when there is uncertainty in the diagnosis or an odontogenic tumor is difficult to treat – 2nd order laboratory parameters. Histologic features of odontogenic tumors. Ameloblastoma, … Odontogenic Tumors: Test and Diagnosis
The diagnosis of an odontogenic tumor is usually made on the basis of the patient’s history, clinical course, and physical examination. Further medical device diagnostics may be required for differential diagnosis. Obligatory medical device diagnostics Radiographs Optional medical device diagnostics – depending on the results of the medical history, physical examination, laboratory diagnostics – for … Odontogenic Tumors: Diagnostic Tests
Oral and maxillofacial surgery. Ameloblastoma classic Radical surgical excision combined with primary reconstruction (osteoplasty with fibula/bone reshaping with fibula bone). Close follow-up in the first postoperative decade of life due to possible recurrence (recurrence of the disease). Follow-up for decades thereafter Ameloblastoma unicystic Conservative or radical surgical removal Ameloblastoma malignant/ameloblastic carcinoma. Resection and reconstruction Clearance … Odontogenic Tumors: Surgical Therapy
The following symptoms and complaints may indicate an odontogenic tumor: Main symptoms Often asymptomatic (radiological incidental finding). Mostly painless, bone-hard swelling Possibly “parchment crackling” on palpation (indentation / movement of a thin layer of bone over the tumor). No pressure pain If necessary, displacement of teeth or resorption of tooth roots. Main symptoms Classic intrabony … Odontogenic Tumors: Symptoms, Complaints, Signs
Pathogenesis (development of disease) Odontogenic tumors arise from epithelial, ectomesenchymal, or mesenchymal underlying tissues that would give rise to the dental organ in normal development. They develop into hamartomas (tumors arising from malformation of embryonic tissue), nonneoplastic changes, or neoplasms (new formation). Etiology (causes) Biographic causes Sex ratio Classic ameloblastoma: 1: 1 Desmoplastic ameloblastoma: 1: … Odontogenic Tumors: Causes
Vaccinations The following vaccinations are advised: Pneumococcal vaccination Flu vaccination The following curative measures can be used for odontogenic tumor: Counseling/education The patient should be educated about the symptoms of the odontogenic tumor in question and, if necessary, motivated to undergo long-term follow-up. Orthodontic measures If necessary, classification of delayed erupting teeth after surgical tumor … Odontogenic Tumors: Therapy
A comprehensive clinical examination is the basis for selecting further diagnostic and therapeutic steps. Extraoral examination Inspection Facial asymmetries [ameloblastoma] [fibromyxoma] Swellings Fistulas Skin florescences (skin lesions) Abnormal findings on the eye [exophthalmos – pathological protrusion of the eyeball from the orbit – in advanced fibromyxoma]. Lip closure Palpation Bimanual (symmetry comparison) Bony facial skull … Odontogenic Tumors: Examination
In addition to the diagnostic findings, the medical history represents an important component in the diagnosis of odontogenic tumors. Family history Are there any common diseases in your family? Current medical history / systemic history (somatic and psychological complaints). What complaints do you have? Where are the complaints localized? Difficulty swallowing? Do you observe any … Odontogenic Tumors: Medical History
Mouth, esophagus (food pipe), stomach, and intestine (K00-K67; K90-K93). Disorders of tooth development and eruption (K00). Disorders of tooth eruption Follicular cyst [unicystic ameloblastoma] Displaced tooth [odontoma] Retained and impacted teeth (K01) Impacted tooth (tooth not erupted due to obstruction by another tooth). Periapical granuloma [early stage benign cementoblastoma] Other diseases of gingiva (gums) and … Odontogenic Tumors: Or something else? Differential Diagnosis
The most important diseases or complications that may be contributed to by an odontogenic tumor are: Respiratory system (J00-J99) Obstructed nasal breathing [fibromyxoma] Eyes and eye appendages (H00-H59). Exophthalmos (pathologic protrusion of the eyeball from the orbit) [fibromyxoma]. Mouth, esophagus (esophagus), stomach, and intestines (K00-K67; K90-K93). Impaired tooth eruption [ameloblastoma] [ameloblastic fibroma] [AOT] [odontoma] Occlusion … Odontogenic Tumors: Consequential Diseases
