A Review of Eight Cases of Odontoma in Children in a Northern Nigeria Hospital Review of odontoma cases in children

Abstract

Background: Odontoma is a tumour-like mass resulting from the disarray in the differentiation of dental tissues. Objective: To describe the pattern of presentation of odontomas at a paediatric dentistry clinic in northern Nigeria over 24 months and discuss the comprehensive management of two cases.

Methods: A prospective cohort study was conducted, recruiting paediatric patients suspected of having an odontoma over 24 months. Clinical records were reviewed, and data on demographics, clinical presentation, medical history, diagnostic investigations, and follow-up were collected. Two cases of odontoma were comprehensively managed and presented.

Results: Eight cases of odontoma were reported, with no gender predilection. The lesions were observed in the first and second decades of life; they affected the anterior maxillae. Compound odontomas were more prevalent than complex variants. The most common effect was the impaction of primary or permanent teeth. Two cases, involving an 11-year-old male and an 11-year-old female, were managed through surgical enucleation and orthodontic treatment.

Conclusion: Although rare, odontoma is a common cause of unerupted or displaced teeth in children. Regular comprehensive oral examinations, including radiographic screening, are crucial for early diagnosis and management of these lesions.