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Complete excision and monitoring in a 5-year-old male with complex odontoma showed no recurrence or complicationsSurgery and monitoring helped a young boy recover from a rare jaw growth

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Key Takeaway
Consider complete excision and monitoring for pediatric complex odontoma; outcomes in this single case were favorable.

A single case report from the Ningbo Clinical Pathological Diagnosis Center details the management of complex odontoma in a 5-year-old male. The patient underwent complete excision via curettage followed by a proactive monitoring strategy involving regular follow-up visits every three months during the first year. The study setting was a clinical pathological diagnosis center, and no comparator group was included.

The primary outcomes assessed included recurrence, wound healing, dental development, and complications. At the 24-month follow-up, no recurrence was observed (0 of 1 patients). The surgical site had healed well, and dental development remained normal. Additionally, no complications, such as secondary caries, were noted (0 of 1 patients). No adverse events, serious adverse events, discontinuations, or specific tolerability data were reported.

Key limitations of this evidence include the observational case report design, a sample size of one, and the lack of a control group or statistical analysis. Consequently, the certainty of the findings is low, and these results cannot be generalized to other populations without further research. The study provides clinical insights for the early diagnosis and individualized treatment of pediatric maxillary developing complex odontoma, but clinicians should interpret these results with caution.

This medical report describes the treatment of a 5-year-old male who had a rare condition called a complex odontoma in his upper jaw. The growth was removed using a surgical procedure called curettage. After the operation, the medical team used a proactive monitoring approach, scheduling regular follow-up visits every three months during the first year of recovery.

The boy was followed for a total of 24 months. During this time, doctors observed that the surgical site healed well and there were no complications such as secondary tooth decay. Additionally, the boy's dental development remained normal throughout the follow-up period. No recurrence of the growth was observed during the study.

While this case provides clinical insights for early diagnosis and individualized treatment of pediatric maxillary developing complex odontoma, readers should be careful not to overstate the findings. The study involved only one patient, so the results are limited and cannot be generalized to other children. This report offers a specific example of care but does not provide enough evidence to change standard medical practice for all patients.

What this means for you:
One boy recovered well after surgery and monitoring, but results from a single case cannot guide general treatment.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedApr 2026
View Original Abstract ↓
This study aims to report the clinical diagnosis and management of a 5-year-old child with developing complex odontoma in the left maxilla, and to review the literature regarding its clinical features, imaging findings, and pathological characteristics, so as to provide clinical insights for early diagnosis and individualized treatment of pediatric maxillary developing complex odontoma. A 5-year-old male presenting with a “left maxillary mass” was evaluated. Clinical examination assessed facial morphology and dental development. Panoramic radiography and cone-beam computed tomography (CBCT) were used to determine the lesion's location and imaging characteristics. The surgically resected specimen was sent to the Ningbo Clinical Pathological Diagnosis Center for gross and histopathological examination. Postoperative follow-up was conducted for 24 months to monitor wound healing, dental development, and potential recurrence. We implemented a proactive monitoring approach, which included regular follow-up visits every three months during the first year. During these visits, we assessed the growth and development of the surrounding teeth and evaluated the edentulous area for any signs of potential complications. Clinical examination revealed a left maxillary mass without significant facial asymmetry, and the child was in the stage of dental development. Imaging confirmed an expansive lesion in the left maxilla. Pathological examination identified a 4.5 × 4 × 0.5 cm grayish-white to reddish, firm tissue, leading to a final diagnosis of developing complex odontoma. The lesion was completely removed via curettage. At the 24-month follow-up, no recurrence was observed, the surgical site had healed well, dental development was normal, and no complications such as secondary caries were noted. Pediatric maxillary developing complex odontoma often presents with subtle symptoms and atypical imaging features, leading to delayed diagnosis. Multimodal imaging combined with pathological examination enables accurate diagnosis. Complete excision via curettage, accompanied by long-term follow-up, effectively restores maxillary structure and function, supports normal dental development, and reduces recurrence risk, making it a viable treatment strategy for pediatric maxillary developing complex odontoma.
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