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KMID : 0358920150420020164
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Journal of the Korean Academy of Pedodontics
2015 Volume.42 No. 2 p.164 ~ p.171
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Retrospective Study of the Characteristics and Treatment of Odontomas
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Moon Yu-Jin
Lee Daw-Woo
Kim Jae-Gon
Baik Byeong-Ju
Yang Yeon-Mi
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Abstract
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This study was aimed to retrospectively evaluate the clinical findings and treatments of odontomas in the Korean demographic group. The subject of the present study included 75 odontomas in 74 patients who received treatment from Chonbuk National University Dental Hospital between April 2005 and March 2014. The average age of the subjects were 10.3 years old (range 3 - 23 years old). 42 (56.8%) males and 32 (43.2%) females were in the present study. It was found that compound odontomas were about 4 times more common than complex odontomas. Odontomas equally occurred in both maxillary and mandible. The impaction of permanent teeth (73.3%) was the most common complication of odontomas on adjacent teeth. Most odontomas (96.0%) were surgically removed either to induce spontaneous eruption or to guide orthodontically to occlusion. When the impacted tooth could not be naturally or forcefully erupted to occlusion, it was extracted.
Early detection and treatment of odontomas would increase the possible preservation of the impacted tooth by eliminating the source of disturbance. Therefore, this study recommends that periodic radiographic examination from birth until the eruption of the permanent third molar to prevent possible hindrance to the teeth eruption.
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KEYWORD
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Compound odontoma, Complex odontoma, Eruption disturbance
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