유년기 치아종의 임상적 특징 : 105증례의 후향적 분석
Clinical Characteristics of Odontoma in Children : A Retrospective Analysis of 105 Cases
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We investigate the clinical characteristics of odontoma in childhood and adolescence. A retrospective analysis was performed in 105 patients under 15 years old who were diagnosed with odontoma in Kyungpook National University Dental Hospital, the department of pediatric dentistry between 1 January 2008 and 31 December 2013. The ratio of compound odontoma, immature odontoma and complex odontoma were 67.6%, 21.9% and 10.5%, respectively. Odontoma was more prevalent in males and the ratio of males to females was 1.5:1. The age of patients ranged from 3 to 14 years old with an average age of 9.3 years old. The odontoma was more frequently located in the maxilla (73.3%) than in the mandible(26.7%). In 98 cases, it was treated by surgical removal. Among adjacent teeth impacted by odontoma, 26 cases (34.7%) of successional permanent teeth were erupted when only odontoma were removed and 6 cases (8.0%) were erupted when surgical exposure was performed. Orthodontic tractions were performed in 43 cases (57.3%). In conclusion, odontoma could cause complications such as impaction of teeth. If they are found early and treated properly, high eruption success of successional permanent teeth can be obtained. The occurrence frequency of immature odontoma are higher than that of complex odontoma, and they are observed intensively in anterior maxillary teeth. Therefore, it is considered that they are important causes of dental impaction in anterior maxillary teeth.
Abstract
We investigate the clinical characteristics of odontoma in childhood and adolescence. A retrospective analysis was performed in 105 patients under 15 years old who were diagnosed with odontoma in Kyungpook National University Dental Hospital, the department of pediatric dentistry between 1 January 2008 and 31 December 2013. The ratio of compound odontoma, immature odontoma and complex odontoma were 67.6%, 21.9% and 10.5%, respectively. Odontoma was more prevalent in males and the ratio of males to females was 1.5:1. The age of patients ranged from 3 to 14 years old with an average age of 9.3 years old. The odontoma was more frequently located in the maxilla (73.3%) than in the mandible(26.7%). In 98 cases, it was treated by surgical removal. Among adjacent teeth impacted by odontoma, 26 cases (34.7%) of successional permanent teeth were erupted when only odontoma were removed and 6 cases (8.0%) were erupted when surgical exposure was performed. Orthodontic tractions were performed in 43 cases (57.3%). In conclusion, odontoma could cause complications such as impaction of teeth. If they are found early and treated properly, high eruption success of successional permanent teeth can be obtained. The occurrence frequency of immature odontoma are higher than that of complex odontoma, and they are observed intensively in anterior maxillary teeth. Therefore, it is considered that they are important causes of dental impaction in anterior maxillary teeth.
참고문헌 (23)
- Paolo B, "Complex and compound odontomas", J Craniofac Surg, 23, pp.685~688 (2012)
- Kulkarni VK, "Compound odontoma associated with an unerupted rotated and dilacerated maxillary central incisor", Contemp Clin Dent, 2(3), pp.218~221 (2011)
- Hisatomi M1, "A case of complex odontoma associated with an impacted lower deciduous second molar and analysis of the 107 odontomas", Oral Diseases, 8(2), pp.100~105 (2002)
- Or S, "Compound and complex odontomas", Int J Oral Maxillofac Surg, 16(5), pp.596~599 (1987)
- 안서영, "Odontoma: a retrospective study of 73 cases", Imaging Science in Dentistry, 42(2), pp.77~81 (2012), 대한구강악안면방사선학회[DOI]
- Owens BM, "Dental odontomas : a retrospective study of 104 cases", J Clin Pediatr Dent, 21(3), pp.261~264 (1997)
- 류재량, "발육중인 치아종으로 인한 맹출 장애", 대한소아치과학회지, 37(4), pp.505~511 (2010), 대한소아치과학회
- Iatrou I, "A retrospective of the characteristics, treatment and follow-up of 26 odontomas in Greek children", J Oral Sci, 52(3), pp.439~447 (2010)
- Kramar IRH, "World health organization international histological classification of tumors - Histological typing of odontogenic tumours", pp.11~41 (1992)
- 송지현, "작은 치아종으로 인한 맹출 장애", 대한소아치과학회지, 34(3), pp.490~497 (2007), 대한소아치과학회
- McKinney AL, "The development of a compound odontoma", J Dent Child, 51, pp.146~147 (1984)
- 문유진, "치아종의 임상적 특징과 치료에 대한 후향적 연구", 대한소아치과학회지, 42(2), pp.164~171 (2015), 대한소아치과학회[DOI]
- Hitchin AF, "Four cases of compound composite odontomes", Brit Dent J, 8, pp.269~274 (1958)
- Regezi JA, "Odontogenic tumors : analysis of 706 cases", J Oral Surg, 36(10), pp.771~778 (1978)
- Kaugars GE, "Odontomas", Oral Surg Oral Med Oral Pathol, 67, pp.172~176 (1989)
- Buchner A, "Relative frequency of central odontogenic tumors: a study of 1,088 cases from northen california and comparison to studies from other parts of the world", J Oral Maxillofac Surg, 64(9), pp.1343~1352 (2006)
- Ochsenius G, "Odontogenic tumors in Chile : a study of 362cases", J Oral Pathol Med, 31(7), pp.415~420 (2002)
- Tomzawa M, "Clinical observations of odontomas in Japanese children : 39 cases including one recurrent case", Int J Paediatr Dent, 15(1), pp.37~43 (2005)
- Hidalgo-Sánchez O, "Metaanalysis of the epidemiology and clinical manifestations of odontomas", Med Oral Patol Oral Cir Bucal, 13(11), pp.E730~E734 (2008)
- Toretti EF, "Odontomas : an analysis of 167 cases", J Pedod, 8(3), pp.282~284 (1984)
- Katz RW, "An analysis of compound and complex odontomas", J Det child, 56(6), pp.445~449 (1989)
- Morning P, "Impacted teeth in relation to odontomas", Int J Oral Surg, 9(2), pp.81~91 (1980)
- Tamme T, "Odontogenic tomours, a collaborative retrospective study of 75cases covering more than 25 years from Estonia", J Craniomaxillofac Surg, 32(3), pp.161~165 (2004)