TY - JOUR AU - Millan, João Paulo Dessy AU - Gutinik, Bárbara Castelli AU - Lima, Lucas Louzada Mendes de AU - Teles, Ana Katharina Gomes AU - Martins, Tagnã Aparecido AU - Tempest, Leandro Moreira PY - 2021/10/12 Y2 - 2024/03/29 TI - Odontomas and imaging diagnosis: the concise systematic review JF - MedNEXT Journal of Medical and Health Sciences JA - MedNEXT VL - 2 IS - 5 SE - Review DO - 10.54448/mdnt21504 UR - https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/68 SP - AB - <p><strong>Introduction:</strong> Odontomas are tumors of odontogenic origin. They represent on average 70% of all odontogenic tumors found. Early diagnosis and treatment prevent the loss of tissue element, tooth impaction, bone malformations, and displacement of bone structures, differentiating their types through panoramic radiographic images. <strong>Objective:</strong> To carry out a concise systematic review of the characteristics of odontomas, differentiating their types through panoramic radiographic images. <strong>Methods:</strong> The research was carried out from May 2021 to June 2021 and developed based on Scopus, PubMed, Science Direct, Scielo, and Google Scholar, following the Systematic Review-PRISMA rules. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. <strong>Results:</strong> A total of 84 articles were found. A total of 36 articles were evaluated in full and 17 were included and evaluated in the present study. A total of 3 Studies with a High Risk of Bias and 1 Study with Uncertain Risk. Radiographic examination is extremely important for the study and diagnosis of odontomas. Odontomas present a characteristic radiographic appearance. In complex odontomas, radiopacity is not specifically determined, showing itself as an irregular and disorganized mass surrounded by a narrow radiolucent zone. In the composite type, the radiographic image is pathognomonic. In the radiopaque image, dozens of denticles simulate small teeth surrounded by a thin radiolucent area. Composite odontoma, on the other hand, consists of the same calcified structures arranged in an orderly and related manner, similar to normal teeth contained in a fibrous capsule. The differential diagnosis of complex odontoma includes osteomas and condensing osteitis. <strong>Conclusion: </strong>Radiographic and/or tomographic examination is the best way to obtain an accurate diagnosis, precisely delimiting the lesion and nearby and involved structures.</p> ER -