ISSN 2398-2977      

Teeth: tumors

pequis
Contributor(s):

Chris Whitton

Anna Hollis

Synonym(s): Odontoma


Introduction

  • Rare.
  • Classified according to the inductive effect of on dental tissue upon the others.
  • Usually benign but are locally invasive and aggressive, so wide surgical excision early in the clinical course is generally required to achieve a cure.
  • Cause: congenital and acquired.
  • Signs: mandibular tumors - firm swellings; maxillary tumors - rapidly growing, swelling, signs of upper respiratory tract disease; periodontal disease, halitosis, abnormal head carriage.
  • Diagnosis: radiography, histopathology.
  • Treatment: excision, radiotherapy.
  • Prognosis: generally poor due to late diagnosis, leading to a high risk or local recurrence but variable depending on tumor type and location. Can have severe secondary effects such as nasal obstruction, dental deformity, and facial deformity.

Pathogenesis

Etiology

  • Dependent upon the type of lesion.

Pathophysiology

Tumor types

  • Ameloblastoma.
  • Hamartoma/osteoma.
  • Osteosarcoma.
  • Ameloblastic odontoma.
  • Cementoma.
  • Complex odontoma.
  • Compound odontoma.
  • Cysts/hamartoma.

Location

  • Mandible - beneath any of the cheek teeth.
  • Maxilla - at base of cheek teeth, may extend into sinuses.

Sinonasal tumors

  • Equine sinonasal tumors are relatively uncommon in horses (non-neoplastic growths such as maxillary (sinus) cysts, progressive ethmoid hematoma and inflammatory nasal polyps are more common).The equine paranasal sinuses, especially the caudal maxillary sinus, are the most common sites for sinonasal tumors.
  • The more common tumor types include squamous cell carcinoma that, in some cases, arise in the oral cavity and spread to the maxillary sinuses; adenocarcinomas; bone and dental tumors; fibrosarcomas and hemangiosarcomas.

Timecourse

  • Maxillary tumors tend to be fast-growing.

Diagnosis

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Treatment

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Kock E et al (2014) Magnetic resonance imaging of a solid, multilobular ameloblastoma in the mandible of a pony. Equine Vet Educ 46 (11), 599-604 VetMedResource.
  • Barakzai S Z (2008) Odontogenic tumours in the horse and man - difficulties with classification and the need for collaborative research. Equine Vet Educ 20 (12), 655-656 VetMedResource.
  • Hackett E S & Baxter G M (2008) Odontogenic tumours in the horse. Equine Vet Educ 20 (12), 652-654 VetMedResource.
  • Snyder C, Dubielzig R R, Gengler W & Livesey M A (2008) Surgical treatment of a rostral mandibular complex odontoma in a 3-year old horse. Equine Vet Educ 20 (12), 647-651 VetMedResource.
  • Kutzler M A, Feleciano J & Valentine B A (2007) Mandibular ameloblastoma in a mare. Equine Vet Educ 19 (9), 463-468 Wiley.
  • Brounts S H, Hawkins J F, Lescun T B et al (2004) Surgical management of compound odontoma in two horses. JAVMA 225 (9), 1423-1427 PubMed.
  • Dixon P M et al (2000) Equine dental disease. Part 3 - a long-term study of 400 cases - disorders of wear, traumatic damage and idiopathic fractures, tumors and miscellaneous disorders of the cheek teeth. Equine Vet J 32, 9-18 PubMed.
  • Head K W, Dixon P M (1999) Equine nasal and paranasal sinus tumors. Part 1: review of the literature and tumour classification. Equine Vet J 157 (3), 261-278 PubMed.
  • DeBowes R M, Gaughan E M (1998) Congenital dental disease of horses. Vet Clin North Am Equine Pract 14 (2), 273-289 PubMed.
  • Lane J G, Gibbs C, Meynink S E, Steele F C (1987) Radiographic examination of the facial, nasal and paranasal sinus regions of the horse - I. Indications and procedures in 235 cases. Equine Vet J 19 (5), 466-473 PubMed.

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