Reporter Sun Shuyu and Correspondent Wang Qianwei
All say that toothache is not a disease, but it is fatal, but the experience of an 11-year-old boy in Yantai shows that toothache can sometimes be sick. Apart from toothache, there are no other symptoms, but an 11-year-old boy who was changing his teeth suddenly found a bunch of “dental tumors”. What’s going on?
On May 18th, the reporter learned from Yantai Stomatological Hospital that a few days ago, the Maxillofacial Surgery Department of Yantai Stomatological Hospital admitted a small patient. After oral examination, it was found that there were a large number of types in the left lower posterior tooth area. Tooth-like high-density shadow, which can terrify the family. After detailed preoperative preparations, the doctor finally removed 14 deformed teeth through surgery, and pulled out these “indefinite time bombs” buried in the mouth, and the boy’s toothache symptoms disappeared.
The doctor removed 14 deformed teeth for Kobayashi (pseudonym) through surgery.
An 11-year-old boy, Xiao Lin (pseudonym), felt discomfort in his lower left back tooth 3 months ago. After a period of time, the discomfort did not ease. Recently, Xiao Lin accompanied his family to Yantai Stomatological Hospital. consult. During the oral CBCT examination, the doctor found that there were a lot of odontoid-like high-density shadows in the lower left posterior tooth area of Kobayashi.
A lump appeared on the lingual side of Kobayashi’s corresponding position. Combined with the CBCT examination, Sun Chao diagnosed it as a “combined dental tumor”.
After further examination by Sun Chao, Deputy Director of Oral and Maxillofacial Surgery of Yantai Stomatological Hospital, it was found that there was a bulge on the lingual side of Kobayashi’s corresponding position. Combined with the CBCT examination, Sun Chao diagnosed Kobayashi as “combinatorial”. Tooth tumor”, requiring hospitalization for surgical removal.
Hearing the word “tumor”, Xiaolin’s mother was very nervous, and the child had no other symptoms, just a toothache, how could a “tumor” grow?
Sun Chao explained: “Dental tumor is not a tumor in the traditional sense, it is a kind of odontogenic non-true tumor, most of which are benign. Generally, dental tumor grows slowly and has no symptoms in the early stage. Usually it is because the child’s teeth have not erupted or other oral problems need to be checked and treated, and found only when the X-ray film is taken. Parents, don’t worry, after the removal, the child can recover completely and will not affect other aspects of the child’s body.”
Sun Chao formulated a detailed surgical plan for Kobayashi. With the cooperation of the surgical anesthesiology department, the bone was removed with an ultrasonic osteotome, and the tumor was completely removed. All 14 deformed teeth and calcified masses were removed. The operation went very smoothly. Taking into account the eruption of impacted permanent teeth and the maintenance of the missing tooth space, Sun Chao suggested that parents take Xiaolin to the pediatric dentistry department of the hospital one week after the operation to make a space maintainer to maintain the space.
Sun Chao said that odontomas are odontogenic tumors, mainly seen in children and young patients, and there is no gender difference. They can be divided into mixed odontomas and combined odontomas. A large number of malformed teeth of varying sizes and shapes were identified. The disease is self-limiting, surgical excision is generally not easy to recur, and the prognosis is good. Sun Chao reminded the majority of parents: If it is found that the child’s permanent teeth eruption time is delayed for more than half a year, they should go to a professional dental hospital for an examination to determine whether the teeth are hindered by foreign objects and cannot grow.