Timing and treatment sequence in the management of odontomas associated with impacted teeth: A literature review and report of two cases

Authors

  • D Aiello Department of Health Sciences, University of Catanzaro "Magna Graecia", Catanzaro
  • V Quinzi Department of Clinical Medicine, Public Health, Life and Environmental Sciences, University of L'Aquila
  • M Distefano Private practitioner in Catania
  • MM Figliuzzi Department of Health Sciences, University of Catanzaro "Magna Graecia", Catanzaro
  • G Scirè Scappuzzo Private practitioner in Catania
  • S Paduano Department of Health Sciences, University of Catanzaro "Magna Graecia", Catanzaro

DOI:

https://doi.org/10.23804/ejpd.2022.23.03.09

Keywords:

Odontoma, Impacted teeth, Tooth retention, BMP4, Wnt signaling pathway, R-Spondin3, Wnt/β-catenin, Podoplanin

Abstract

AIM: This study aims to highlight the importance of early diagnosis, timing, optimal treatment sequence and multidisciplinary approach as key factors in the orthodontic management of impacted and retained teeth associated with odontomas. METHODS: Literature about classification, epidemiology, aetiopathogenesis, histopathology and therapeutic options about odontomas and impacted teeth in orthodontics was reviewed. Two case reports are presented, showing different timing in diagnosis and surgical removal of odontomas and some biomechanical approaches. CONCLUSION: An early removal of the odontoma is certainly a more effective and simpler procedure in the approach to this problem.