"Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has."

Margaret Mead
Case report
peer-reviewed

Surgical Access to a Complex Composite Odontoma via Sagittal Split Osteotomy of the Mandible



Abstract

This case report presents the removal of complex composite odontoma in a young patient in the right body of mandible via the unilateral sagittal splitting of the mandible. This article shows that sagittal split osteotomy of the mandible can be very useful to access various pathologies in the body, angle, and ramus of the mandible and to navigate lesions that are in proximity to the inferior alveolar nerve. This technique also helps in avoiding postoperative morbidity when compared to other conventional surgical approaches. It can be used to remove large cysts, benign non-infiltrative tumours of the mandible, odontogenic myxoma, large odontoma, and deeply impacted lower third molars.



Want to read more?

Create a free account to continue reading this article.

Already a member? Login.



Case report
peer-reviewed

Surgical Access to a Complex Composite Odontoma via Sagittal Split Osteotomy of the Mandible


Author Information

Pradeep J. Christopher Corresponding Author

Oral and Maxillofacial Surgery, Thai moogambigai dental college

Senthilnathan Periasamy

Oral and Maxillofacial Surgery, Saveetha dental college,saveetha university

Poorna Devadoss

Orthodontics and Dentofacial Orthopaedics, Thai moogambigai dental college & hospital

Santhosh P. Kumar

Oral and Maxillofacial Surgery, Saveetha Dental College, Saveetha University, Chennai


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


Case report
peer-reviewed

Surgical Access to a Complex Composite Odontoma via Sagittal Split Osteotomy of the Mandible


Figures etc.

Share
Case report
peer-reviewed

Surgical Access to a Complex Composite Odontoma via Sagittal Split Osteotomy of the Mandible

Pradeep J. Christopher ">Pradeep J. Christopher , Senthilnathan Periasamy">Senthilnathan Periasamy, Poorna Devadoss">Poorna Devadoss, Santhosh P. Kumar">Santhosh P. Kumar

  • Author Information
    Pradeep J. Christopher Corresponding Author

    Oral and Maxillofacial Surgery, Thai moogambigai dental college

    Senthilnathan Periasamy

    Oral and Maxillofacial Surgery, Saveetha dental college,saveetha university

    Poorna Devadoss

    Orthodontics and Dentofacial Orthopaedics, Thai moogambigai dental college & hospital

    Santhosh P. Kumar

    Oral and Maxillofacial Surgery, Saveetha Dental College, Saveetha University, Chennai


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: December 06, 2017

    DOI

    10.7759/cureus.1915

    Cite this article as:

    Christopher P J, Periasamy S, Devadoss P, et al. (December 06, 2017) Surgical Access to a Complex Composite Odontoma via Sagittal Split Osteotomy of the Mandible. Cureus 9(12): e1915. doi:10.7759/cureus.1915

    Publication history

    Received by Cureus: November 03, 2017
    Peer review began: December 01, 2017
    Peer review concluded: December 02, 2017
    Published: December 06, 2017

    Copyright

    © Copyright 2017
    Christopher et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

This case report presents the removal of complex composite odontoma in a young patient in the right body of mandible via the unilateral sagittal splitting of the mandible. This article shows that sagittal split osteotomy of the mandible can be very useful to access various pathologies in the body, angle, and ramus of the mandible and to navigate lesions that are in proximity to the inferior alveolar nerve. This technique also helps in avoiding postoperative morbidity when compared to other conventional surgical approaches. It can be used to remove large cysts, benign non-infiltrative tumours of the mandible, odontogenic myxoma, large odontoma, and deeply impacted lower third molars.



Want to read more?

Create a free account to continue reading this article.

Already a member? Login.



Pradeep J. Christopher , Professor, MDS

Oral and Maxillofacial Surgery, Thai moogambigai dental college

For correspondence:
p_ortho@yahoo.com

Senthilnathan Periasamy

Oral and Maxillofacial Surgery, Saveetha dental college,saveetha university

Poorna Devadoss

Orthodontics and Dentofacial Orthopaedics, Thai moogambigai dental college & hospital

Santhosh P. Kumar

Oral and Maxillofacial Surgery, Saveetha Dental College, Saveetha University, Chennai

Pradeep J. Christopher , Professor, MDS

Oral and Maxillofacial Surgery, Thai moogambigai dental college

For correspondence:
p_ortho@yahoo.com

Senthilnathan Periasamy

Oral and Maxillofacial Surgery, Saveetha dental college,saveetha university

Poorna Devadoss

Orthodontics and Dentofacial Orthopaedics, Thai moogambigai dental college & hospital

Santhosh P. Kumar

Oral and Maxillofacial Surgery, Saveetha Dental College, Saveetha University, Chennai