Treatment of Large Odontoma of the Mandible by Two-Phase Surgical ProcedureReportar como inadecuado

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Acta stomatologica Croatica, Vol.37 No.3 September 2003. -

Two methods are possible in the surgical treatment of large examples of complex odontomas or other odontogenic tumors of the mandible.

One is classical intraoral approach, as in the case of alveotomy of retained or impacted teeth, wich im simple to perform in the case of small examples of odontomas, where the bone is still sufficiently preserved, and there is consequently no danger of pathological or iatrogenic fracture of the jaw. It is also possible in the case of large tumors that are easily denucleated from the bony site.

Another method is to remove the tumor by means of so-called sagittal osteotomy of the mandible described by Ritersma J, and van Gool AV. 1979.

The authors present an example of an unusually large, complex odontoma of the mandibular angle of a 23 yearold man. Because of the possibility of fracture during the operation in one step a two phase surgical procedure was applied, wich proved successful and was acceptable for the patient. The authors cite data from the literature, discussing advantages and disadvantages of different surgical procedures, leaving the audience to decide on justification of all applied surgical procedures to date.

Autor: Goran Knežević - Klara Sokler -



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