Immediate Reconstruction Using Autogenous Bone Graft in Huge CompoundOdontoma

Abstract

Odontoma is placed into the odontogenic tumor classifications. But it is known as a hamartomatous lesion or a developmental abnormality rather than a odontogenic tumour. It is subclassified into 2 types: (a) compound odontoma: consisting of many little teeth like structures (denticles) (b) complex odontoma: the feature is not like a tooth but it is made of dental tissues in irregular amounts. In this paper, we present two different compound odontoma cases treated by a similar technique using “Autogenous Bone Cover”. Very large odontomas were enucleated and surgical side was covered with autogenous bones. After that, autogenous bones were fixed by reconstruction plates and mini titan screws, in order to avoid a possible fracture. After one year of follow up period, healings of the patients were uneventful.