hospital dent case analysis.docx

8/11/2019 Hospital Dent Case Analysis.docx

http://slidepdf.com/reader/full/hospital-dent-case-analysisdocx 1/8

CENTRO ESCOLAR UNIVERSITY MAKATI

SCHOOL OF DENTISTRY

HOSPITAL DENTISTRY CASE ANALYSIS

COMPOUND ODONTOMA INVOLVING THE FOUR QUADRANTS OF THE

JAWS: A CASE REPORT AND REVIEW OF THE LITERATURE

PRESENTED BY:

DMD-4A (Group 3

CARLOS! "USTINE ERIKA MAY

DAYANGHIRANG! NINA DOMINI#UE

DELA CRU$! ERNESTINE ANDREA A%

FERMIN! ATHENA MONI#UE D%

MACALANGGAN! AMENAH

MORING! "OHN RHOY

RUI$! CARLEEN

SALAYSAY! "UDY PEARL

SALA$AR! ANDREA REI E%



ODONTOMAS

• T&' o)* +oo, oo,*o.',/+ *uor)• I* /) 01 '2,/*/o, r''r) *o ,1 *uor o oo,*o.',/+ /, or/./,• R'pr')',*/,. 567 o 88 oo,*o.',/+ *uor)• I* /) .ro9*& /, 9&/+& 0o*& *&' 'p/*&'8/8 , ')',+&18 +'88) '&/0/*

+op8'*' /;'r',*/*/o, 9/*& *&' r')u8* *&* u,+*/o,8 '8o08)* ,oo,*o08)*) or) ','8 , ',*/,

• I* 1 pr')',* /, *9o )p'+/2+ or):

COMPOUND ODONTOMA- For) ,1 )'pr*'! u8*/p8' )88 *oo*&-8/<' )*ru+*ur'

COMPLE= ODONTOMA- Irr'.u8r )) o ',*/, , ','8 9/*&ou* r')'08,+' *o *oo*&

ETIOLOGY OF ODONTOMA

• I* /) ,o* <,o9, 0u* ',>/ro,',* +u)') )u+& ) /,'+*/o,! *ru! /81

&/)*or1 , .','*/+ u**/o, r' &1po*&')/?'%

• I* +o,)*/*u*') @-367 o 88 oo,*o.',/+ *uor) , /) o)*81 ou, /, *&'

po)*'r/or ,/08' , ,*'r/or /88% T&'1 r' )'', /, 9/*& u,'rup*'*''*& /, 6-447 , 0ou* 57 o *&' r' ))o+/*' 9/*& /p+*'

/88r1 8*'r8 /,+/)or)%

PATHOPHYSIOLOGY



PATHOPHYSIOLOGY

A% S.O.A.P

• SUB"ECTIVE

ORAL

INITIATION OF TOOTH

FORMATION

ENAMEL ORGAN CONSISTS OF

PERIPHERALLY LOCATED LO

COLUMNAR CELLS AND CENTRALLY

DENTAL PAPILLA AND DENTAL

SAC NOT ELL DEFINED

TOOTH BUD CONTINUES TO

PROLIFERATE! DOES NOT E=PAND

UNIFORMLY INTO A LARGE SPHERE

UNE#UAL GROTH IN

DIFFERENT PARTS OF THE

CONTINUED UNEVEN GROTH

OF THE ENAMEL ORGAN

FOLDING OF ENAMEL ORGAN

INTERRUPTED

MINERALI$ATION AND ROOT

UNORGANI$ED LESION ITH

ENAMEL! DENTIN! CEMENTUM

AND PULP

LACK OF MULTIPLE

TEETH EDENTULISM

FORMATION OF SMALL

ASYMPTOMATIC CALCIFIED

PRESENCE OF TOOTH LIKE

STRUCTURES ON ANTERIOR

MA=ILLA AND MANDIBLE

BONY HARD SELLING OF

MA=ILLA AND MANDIBLE

INCOMPLETE

FORMATION OF TOOTH

CONTINUED UNEVEN GROTH

OF ENAMEL! CEMENTUM!DENTIN AND PULP

TOOTH



% CHIEF COMPLAINT:No* pp8/+08'

% HISTORY OF PRESENT ILLNESS: T&' p*/',* 9) /**' *o *&' +u8*1 o ',*/)*r1! Cu<uro> U,/>'r)/*1!

A,! Tur<'1 o, "u,' % H/) .','r8 ',*/)* r''rr' *&' p*/',* u' *o

*&' 8+< o u8*/p8' *''*& , pr')',+' o *oo*&-8/<' )*ru+*ur') 9/*& +r/')

'*'+*' +8/,/+8 , r/o.rp&/+ '/,*/o,%

3% PAST MEDICAL HISTORY: u,r'r<08'

4% REVIE OF SYSTEMS:A '0/8' 8oo</,. 8' 9/*& >,+' )/.&* /)or'r

@% FAMILY HISTORY: u,r'r<08'% PERSONAL SOCIAL HISTORY: ,o* pp8/+08'

•

OB"ECTIVE

% E*r-or8- No pr')*&')/ or p/,- D'0/8'-8oo</,. 8' 9/*& >,+' )/.&* /)or'r- No )9'88/,. or +'r>/+8 81p',op*&1

% I,*r-or8- No pr')*&')/ or p/,- E',*u8/) o po)*'r/or )'.',* o /88 , ,/08'- Too*&-8/<' )*ru+*ur') p','*r*/,. *&' or8 u+o) 9'r' ppr',* /, *&'

,*'r/or r'./o,) o *&' /88 , ,/08'

3% R/o.rp&- Mu8*/p8' /;u)' *oo*&-8/<' op+/*/') o++up1/,. *&' /88 , *&'

,/08' ) 9'88 ) 0o*& /88r1 )/,u)')- Po)*'r/or *''*& 9'r' /p+*' u' *o *&' pr')',* +8+/2' 8')/o,)

4% Co,' 0' Copu*' Too.rp&1- M))') o++up/' *&' 0)8 , 8>'o8r pr*) o *&' ,/08' * *&'

pr)1p&/)/) , 0o1 pr*) 0/8*'r881- M/88r1 pr'o8r , o8r r'./o,) 9'r' o++up/' 01 *&' ))')- T&' ))') '*', *o *&' r/ o *&' or0/* +>/*1 )up'r/or81 ,

0/8*'r881 9/*&ou* )/.,/2+,* '*ro))'ou) 'p,)/o,

@% I,+/)/o,8 B/op)1

% H/)*op*&o8o./+ '/,*/o,- S&o9' ',*/,! +'',*u! ','8 , pu8p */))u') rr,.' /, *oo*&-

8/<' or'r



• Too*&-8/<' )*ru+*ur') 9/*& +r/') p','*r*/,. *&' or8 u+o) 9'r' ppr',*

/, *&' ,*'r/or r'./o,) o *&' /88 , ,/08'%

• No '*r or8 )9'88/,.

• No +'r>/+8 81p&',op*&1

C. RADIOGRAPHIC FEATURES

PANORAMIC RADIOGRAPH

• Mu8*/p8' , /;u)' *oo*&-8/<' op+/*/') o++up1/,. *&' /88 , *&'

,/08' ) 9'88 ) 0o*& /88r1 )/,u)')

• T&' po)*'r/or *''*& 9'r' /p+*' u' *o *&')' 8')/o,)

CONE BEAM COMPUTED TOMOGRAPHY (CBCT

D. HISTOPATHOLOGIC FEATURES

• T&' &/)*op*&o8o./+ '/,*/o, )&o9' ',*/,! +'',*! ','8! , pu8p

*/))u') rr,.' /, *oo*&-8/<' or'r%

• M/+ro)+op/+ '*ur') )&o9 *&' ',*/+8') o +opou, oo,*o) +opr/)'

+',*r8 +or'! )//8r *o pu8p */))u'! )urrou,' 01 pr/r1 ',*/, , +o>'r'9/*& pr*/881 '/,'r8/?' ','8 , pr/r1 +'',*%

• T&' +o,,'+*/>' */))u' +p)u8' rou, *&' oo,*o /) )//8r /, 88 r')p'+*)*o *&' o88/+8' )urrou,/,. ,or8 *oo*&%

• A, /,*'r')*/,. '*ur' /) *&' pr')',+' o .&o)* +'88) /, oo,*o%

• G&o)* +'88) r' p8'! 'o)/,op&/8/+! )9o88', 'p/*&'8/8 +'88) *&* &>' 8o)* *&'

,u+8'u) 0u* )&o9 /,* ou*8/,' o *&' +'88u8r , , ,u+8'r '0r,'% T&'1 +o,*/, ,1 *o,o20r/8)%

E. DIFFERENTIAL DIAGNOSIS

Copou, oo,*o) +, 0' '*'+*' ')/81 u' *o *&'/r *oo*&-8/<'

pp'r,+'% Cop8' oo,*o) +, 0' /;'r',*/*' ro u' *o *&'/r

prop',)/*1 *o 0' ))o+/*' 9/*& +ro9, o u,'rup*' o8r , *&'1 r' or'

r/opu' *&, +'',*-o))/1/,. 20ro)%

A ',)' 0o,1 /)8, +, 0' /,+8u' /, *&' /;'r',*/8% Ho9'>'r! *&' pr')',+'

o )o* */))u' +p)u8' /) >'r1 u)'u8 /, /;'r',*/*/o,% P'r/p/+8 +'',*8

1)p8)/ 1 r')'08' +op8' oo,*o) 0u* u)u881 *&'1 r' u8*/p8'!)urrou,' 01 )+8'ro*/+ 0or'r) , +',*'r' rou, p/+') o *''*&! 9&'r')

oo,*o) r' +oo,81 ou, o++8u)8 or o>'r8pp/,. *&' /,>o8>' *''*&%

% A'8o08)*/+ 20ro-oo,*o

• No*' o)*81 /, 2r)* , )'+o, '+')• Appro/*'81 567 /, ,/08'! u)u881

po)*'r/or r'./o,



• No .','r pr'/8'+*/o,• M1 +u)' 9 'p,)/o,• A)1p*o*/+• '88 '2,' 9/*& &1p'ro)*o*/+ r./,• U,/8o+u8r *o u8*/8o+u8r• O*', ))o+/*' 9/*& , u,'rup*' *oo*&• A'8o08)*/+ 20ro-oo,*o &) opu'

+opo,',*() r'8*' *o ','8 , ',*/, /,*&' oo,*o +opo,',*

0% A',o*o/ oo,*o.',/+ *uor

• Nrro9 .' r,.'! @ *o 36 1'r)! 9/*& o)* +)'),o*' ur/,. )'+o, '+'

• F'8' pr'/8'+*/o,• A,*'r/or 9 8o+*/o, +oo,• A))o+/*/o, 9/*& u,'rup*' *oo*&• A)1p*o*/+ o++)/o,881 prou+') 'p,)/o, o

8>'o8r 0o,'• Rr'81 o++ur) /, ./,./>8 )o* */))u' (p'r/p&'r8• M1 prou+' roo* />'r.',+' o +',* *''*&• '88 '2,'! u,/8o+u8r! o*', +',* *o +ro9, o

u,'rup*' *oo*&• Opu' o+/ 1 0' )+**'r' 9/*&/, *&' 8u+',+1 /,

J),o9<' or J)8* , p'pp'r p**'r,

+% C8+/1/,. Oo,*o.',/+ Tuor

• C&/'1 /, po)*'r/or ,/08'• P/,8'))! )8o9 .ro9/,.• M', .' o o++urr',+' /) ppro/*'81 46 1'r)• O++)/o,8 )o* */))u' or/./, (p'r/p&'r8 ,o*' )

)'))/8' ./,./>8 ))• "9 'p,)/o, +oo, +8/,/+8 pr')',**/o,• U)u881 ,o*' /, ))o+/*/o, 9/*& , /p+*' *oo*&• Mu8*/8o+u8r o)* o*', 9/*& /' r/o8u+',*

, r/opu' '*ur')• Ip+*' *oo*& o*', o0)+ur' 01 *uor-

))o+/*' +8+/2+*/o,• Mr./,) 1 0' 9'88 '2,' or )+8'ro*/+ , >.u'

% Fo+8 )+8'ro)/,. o)*'o1'8/*/)Co,',)/,. O)*'/*/)

• P'r/p/+8 /,*or1 /)')'



• R')u8*) ro r'+*/o, *o , /,'+*/o, o p'r/oo,*8 or/./,• T&/) +u)') or' 0o,' prou+*/o, r*&'r *&, 0o,' ')*ru+*/o, /, *&' r'

(o)* +oo, )/*' /) ,'r *&' roo* p/+') o pr'o8r) , o8r)• T&' 8')/o, pp'r) ) r/op+/*1 /, *&' p'r/p/+8 r' &',+' *&' )+8'ro*/+

r'+*/o,%• T&' )+8'ro*/+ r'+*/o, r')u8*) ro .oo p*/',*

r')/)*,+' , 8o9 '.r'' o >/ru8',+' o *&'o;',/,. 0+*'r/

• A))o+/*' *oo*& 1 0' +r/ou) or +o,*/,) 8r.' r')*or*/o,

• U)u881 ))o+/*' 9/*& ,o,->/*8 *oo*&

'% A'8o08)*/+ 20ro-oo,*o

• B',/.,! )8o9 .ro9/,.! 'p,)/8'

'p/*&'8/8 oo,*o.',/+ *uor 9/*&

oo,*o.',/+ ')',+&1'• M1 /,&/0/* *oo*& 'rup*/o, or /)p8+'

/,>o8>' *''*& 8*&ou.& *''*& /, *&'

;'+*' r' r' >/*8• R/o.rp&/+881! )&o9) 9'88-'2,'!

r/o8u+',* r' +o,*/,/,. >r/ou)

ou,*) o r/opu' *'r/8 o

/rr'.u8r )/?' , or• T&' 8')/o,) r' u)u881 /.,o)'

ur/,. *&' 2r)* , )'+o, '+') o

8/'• I* o++ur) 9/*& 'u8 r'u',+1 /, *&'

/88 , *&' ,/08'• 'u8 r'u',+1 /, 8') , '8')

Sour+'):web.squ.edu.om/med-Lib/MED_CD/E_CDs/.../docs/ch11.pdf

%

hospital dent case analysis.docx

Documents