ODONTOMES– A DESCRIPTIVE CASE SERIES ON 38 PATIENTS

Abstract

Objectives:The objectives of the study were to evaluate the presentation pattern of odontomes of the jaws and their distribution by gender, age, site and histopathological types.
Materials and Method:A descriptive study was under taken in the Department of Oral and Maxillofacial Surgery, Khyber College of Dentistry, Peshawar over a period of 7 years. Information regarding the variables of the study i.e. gender, age, site distribution, histopathological types and clinical features at the time of presentation were recorded.
Results:A total of 38 patients were recruited in the study. Males were predominantly affected by the condition with the male to female ratio of 2.8:1. The age range of the patients was from 7-26 years with the mean age of 16.52 + 5.24 years. The second decade of life was the most common age group affected i.e. 63.16%. Posterior mandible was the predominant site for odontomes of the jaw i.e. 52.63% while anterior maxilla was involved in 34.21% cases. Amongst the two histological types, complex odontomes were more common i.e. 58% while 42% were compound odontomes. The presenting complaint of the patients comprised of extra and intra oral swelling (47.37%), pain (26.32%) and pus discharge (5.26%). While in 21.05% cases of odontomes were a chance radiographic finding.
Conclsuion:Majortity of the odontomes were of compound variety, with male predilection. Swelling has been the most common presenting complaint, while in a few patients they were chance radiographic findings.