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Chapter-19 Odontogenic Tumors

BOOK TITLE: Fundamentals of Oral Medicine and Radiology

Author
1. Mani Varghese
2. DN Bailoor
3. Patil Mahima
4. Patil Karthikeya
ISBN
9788180615146
DOI
10.5005/jp/books/10318_19
Edition
1/e
Publishing Year
2005
Pages
14
Author Affiliations
1. Mar Baselios Dental College , Kothamangalam (Kerala), India, Govt Dental College and Hospital, Calicut
2. Yenepoya Dental College and Hospital, Mangalore
3. JSS Dental College, Mysore
4. JSS Dental College, Mysore
Chapter keywords

Abstract

Odontogenic tumors (OT) are lesions derived from cellular elements that are forming the tooth apparatus. As a general rule this group of lesions do not cause pain and hence are neglected for a long time. The expansion of mandible or maxilla may result in facial deformity and swelling which brings the patient to the dentist. Philipsen HP et al (1997) has suggested a plausible hypothesis in which they mention that the pathogenesis of this group of tumors can take two paths. The neoplastic path would lead to the Ameloblastic Fibroma and the hamartomatous path to the Odontoma group of lesions. The authors would like to add that the cystic processes are the third type of forces of pathogenesis that may predominate in the diagnosis of Calcifying Odontogenic Cyst or the Cystic odontome. For our practicing dentist we present a simple classification, which will also serve the needs of proper diagnostic labeling or treatment selection. Most of the benign tumors require radiographic and histopathological reports to be in hand before the maxillofacial surgeons can go in remove the lesion. Surgical treatment is a must in most cases of these pathologies and rates of recurrence must be kept in mind prior to planning the type of surgery and follow up.

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