An alternative treatment option for a bony defect from large odontoma using recycled demineralization at chairside.
Odontoma is the most common odontogenic benign tumor, and the treatment of choice is generally surgical removal. After excision, bone grafts may be necessary depending on the need for further treatment, or the size and location of the odontoma. Although the osteogenic capacity of a demineralized tooth was verified as early as 1967 by Urist and many other investigators, the cumbersome procedure, including a long demineralization time, may be less than comfortable for clinicians. A modified ultrasonic technology, with periodic negative pressure and temperature control, facilitated rapid and aseptic preparation of demineralized teeth for bone grafts. This approach reduces the demineralization time dramatically (≤80 minutes), so that the graft material can be prepared chairside on the same day as the extraction. The purpose of this article is to describe two cases of large compound odonotomas used as graft material prepared chairside for enucleation-induced bony defects. These two clinical cases showed favorable wound healing without complications, and good bony support for future dental implants or orthodontic treatment. Finally, this report will suggest the possibility of recycling the benign pathologic hard tissue as an alternative treatment option for conventional bone grafts in clinics.
Department of Oral and Maxillofacial Surgery, Dankook University Jukjeon Dental Hospital, Yongin, Korea.
JuHyon
0000-0002-0484-3422
J
Lee
Department of Oral and Maxillofacial Surgery, Chungbuk National University College of Medicine, Cheongju, Korea.
Eun-Young
0000-0003-0959-3415
EY
Lee
Department of Prosthodontics, Ewha Womans University School of Medicine, Seoul, Korea.
Eun-Jin
0000-0001-6383-449X
EJ
Park
Department of Oral and Maxillofacial Surgery, Dankook University Jukjeon Dental Hospital, Yongin, Korea.
Eun-Suk
0000-0002-2718-2989
ES
Kim
Odontoma; Recycled demineralization