Abstract

SONI, V; BUCH, B  and  KOTSANE, D. Radiographic assessment of multiple pathoses and dental malocclusion: a case study. S. Afr. dent. j. [online]. 2019, vol.74, n.3, pp.123-125. ISSN 0375-1562.  http://dx.doi.org/10.17159/2519-0105/2019/v74no3a3.

Odontomas are rare pathological abnormalities which may occur at any age. It is most unusual to observe an odontoma together with supernumerary teeth, more particularly if this is found in conjunction with an osteoma. This report emphasizes the underlying pathology of a case co-incidentally encountered in a 14 year old patient whose main complaint was of a painful 85 tooth. An incisional biopsy of the area revealed the presence of mineralized tooth-related tissue resembling a complex odontoma. In conjunction with the radiographic evidence, which confirmed the presence of complex and compound odontomas as well as a number of small osteomas, a provisional diagnosis of Gardner's syndrome was made. The syndrome is a rare autosomal disease that is difficult to treat. If a dentist suspects a patient may present with Gardner's syndrome, the patient should be referred immediately for further medical management.

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