Post on 02-Jun-2018
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$AR! ANDREA REI E%
8/11/2019 Hospital Dent Case Analysis.docx
http://slidepdf.com/reader/full/hospital-dent-case-analysisdocx 2/8
ODONTOMAS
• T&' o)* +oo, oo,*o.',/+ *uor)• I* /) 01 '2,/*/o, r''r) *o ,1 *uor o oo,*o.',/+ /, or/./,• R'pr')',*/,. 567 o 88 oo,*o.',/+ *uor)• I* /) .ro9*& /, 9&/+& 0o*& *&' 'p/*&'8/8 , ')',+&18 +'88) '&/0/*
+op8'*' /;'r',*/*/o, 9/*& *&' r')u8* *&* u,+*/o,8 '8o08)* ,oo,*o08)*) or) ','8 , ',*/,
• I* 1 pr')',* /, *9o )p'+/2+ or):
COMPOUND ODONTOMA- For) ,1 )'pr*'! u8*/p8' )88 *oo*&-8/<' )*ru+*ur'
COMPLE= ODONTOMA- Irr'.u8r )) o ',*/, , ','8 9/*&ou* r')'08,+' *o *oo*&
ETIOLOGY OF ODONTOMA
• I* /) ,o* <,o9, 0u* ',>/ro,',* +u)') )u+& ) /,'+*/o,! *ru! /81
&/)*or1 , .','*/+ u**/o, r' &1po*&')/?'%
• I* +o,)*/*u*') @-367 o 88 oo,*o.',/+ *uor) , /) o)*81 ou, /, *&'
po)*'r/or ,/08' , ,*'r/or /88% T&'1 r' )'', /, 9/*& u,'rup*'*''*& /, 6-447 , 0ou* 57 o *&' r' ))o+/*' 9/*& /p+*'
/88r1 8*'r8 /,+/)or)%
PATHOPHYSIOLOGY
8/11/2019 Hospital Dent Case Analysis.docx
http://slidepdf.com/reader/full/hospital-dent-case-analysisdocx 3/8
PATHOPHYSIOLOGY
A% S.O.A.P
• SUB"ECTIVE
ORAL
INITIATION OF TOOTH
FORMATION
ENAMEL ORGAN CONSISTS OF
PERIPHERALLY LOCATED LO
COLUMNAR CELLS AND CENTRALLY
DENTAL PAPILLA AND DENTAL
SAC NOT ELL DEFINED
TOOTH BUD CONTINUES TO
PROLIFERATE! DOES NOT E=PAND
UNIFORMLY INTO A LARGE SPHERE
UNE#UAL GROTH IN
DIFFERENT PARTS OF THE
CONTINUED UNEVEN GROTH
OF THE ENAMEL ORGAN
FOLDING OF ENAMEL ORGAN
INTERRUPTED
MINERALI$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
8/11/2019 Hospital Dent Case Analysis.docx
http://slidepdf.com/reader/full/hospital-dent-case-analysisdocx 4/8
% 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
8/11/2019 Hospital Dent Case Analysis.docx
http://slidepdf.com/reader/full/hospital-dent-case-analysisdocx 5/8
8/11/2019 Hospital Dent Case Analysis.docx
http://slidepdf.com/reader/full/hospital-dent-case-analysisdocx 6/8
• 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,
8/11/2019 Hospital Dent Case Analysis.docx
http://slidepdf.com/reader/full/hospital-dent-case-analysisdocx 7/8
• 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 /)')'
8/11/2019 Hospital Dent Case Analysis.docx
http://slidepdf.com/reader/full/hospital-dent-case-analysisdocx 8/8
• 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
%