Dentinoma

Dentinoma
 Is an extremely rare tumor of odontogenic origin
composed of:

1. Immature connective tissue

2. Odontogenic epithelium
3. Irregular or dysplastic dentin.
Clinical Features:
 Occurs predominantly  Swelling is often present
central in the mandible, for a variable period of
especially in the molar time, pain, perforation of
area, and frequently is mucosa and subsequent
associated with an infection also have been
impacted tooth. presenting complains.
Radiographic Features:
 Findings are not specific , but usually there is a
radiolucent area in the bone containing either a large,
solitary, opaque mass or numerous smaller, irregular
radiopaque masses of calcified material which vary
considerably in size.

 Findings are similar to those noted on the simple

odontoma as well as in ameloblastic fibro-odontoma.
In some cases the dentin is present in relatively small
quantities/poorly calcified so that there are no opacities in
the radiolucency.
Histologic Features:
 Composed of masses of irregular dentin which has
been termed dentinoid or osteodentin.
 The connective tissue often resembles the dental
papilla but the degree of cellularity varies.

It is difficult to justify the diagnosis of dentinoma

unless recognizable dentinal tubules are present,
thus the occurrence of enamel or enamel matrix
precludes the diagnosis of dentinoma.
Treatment:
 Surgical excision is carried out w/thorough curettage
of the area.

In some lesions they have a connective tissue capsule

which, if remnants are left at the time of operation ,
this may now be the basis of recurrence of the
dentinma.
Prognosis:
 Since the lesion is benign in that it never metastasizes
the problem now would be that there may be
considerable local destruction of bone by the tumor.