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Формируется из тех же тканей, что и здоровый зуб: эмали, дентина, пульпы, цемента [1](https://DentBerg.ru/blog/odontoma-klassifikacziya-diagnostika-lechenie-udalenie/). В зависимости от типа одонтомы ткани могут располагаться хаотично или упорядоченно, напоминая структуру настоящего зуба [6](https://ProBolezny.ru/odontoma/). \n\n**Особенности**: \n- Может формироваться как в верхней, так и в нижней челюсти, хотя чаще поражает передние отделы верхней [1](https://DentBerg.ru/blog/odontoma-klassifikacziya-diagnostika-lechenie-udalenie/). \n- Обычно появляется у детей и в подростковом возрасте, в период активного роста постоянных зубов [1](https://DentBerg.ru/blog/odontoma-klassifikacziya-diagnostika-lechenie-udalenie/). \n- Визуально в области поражённого сегмента челюсти может наблюдаться выпячивание, особенно если одонтома достигает больших размеров [1](https://DentBerg.ru/blog/odontoma-klassifikacziya-diagnostika-lechenie-udalenie/).\n\n\n\n## Причины\nТочные причины развития одонтомы до конца не изучены, но выделяют несколько провоцирующих факторов [2](https://celitel05.ru/wiki/bolezni-zubov/odontoma-chto-eto-simptomy-i-prichiny-poyavleniya-obrazovaniya-metody-lecheniya/): \n* травмы челюсти [2](https://celitel05.ru/wiki/bolezni-zubov/odontoma-chto-eto-simptomy-i-prichiny-poyavleniya-obrazovaniya-metody-lecheniya/); \n* воспалительные, инфекционные стоматологические заболевания [2](https://celitel05.ru/wiki/bolezni-zubov/odontoma-chto-eto-simptomy-i-prichiny-poyavleniya-obrazovaniya-metody-lecheniya/); \n* чрезмерное количество зрелых амелобластов — клеток, которые участвуют в формировании зубной эмали [2](https://celitel05.ru/wiki/bolezni-zubov/odontoma-chto-eto-simptomy-i-prichiny-poyavleniya-obrazovaniya-metody-lecheniya/); \n* клеточные остатки зубных пластинок [2](https://celitel05.ru/wiki/bolezni-zubov/odontoma-chto-eto-simptomy-i-prichiny-poyavleniya-obrazovaniya-metody-lecheniya/); \n* гормональные сбои в подростковом возрасте [2](https://celitel05.ru/wiki/bolezni-zubov/odontoma-chto-eto-simptomy-i-prichiny-poyavleniya-obrazovaniya-metody-lecheniya/); \n* некоторые наследственные патологии (например, синдром Германа или Гарднера) [2](https://celitel05.ru/wiki/bolezni-zubov/odontoma-chto-eto-simptomy-i-prichiny-poyavleniya-obrazovaniya-metody-lecheniya/).\n\n## Симптомы\nВ большинстве случаев одонтома растёт медленно и длительное время может оставаться бессимптомной [4](https://ls-stom.ru/informatsiya-dlya-patsientov/odontoma). Однако по мере увеличения она может вызывать следующие проявления [4](https://ls-stom.ru/informatsiya-dlya-patsientov/odontoma): \n* **Деформация челюсти** — при значительном увеличении одонтома может привести к заметному увеличению объёма челюсти, особенно в области поражения [4](https://ls-stom.ru/informatsiya-dlya-patsientov/odontoma). \n* **Смещение зубов** — опухоль может оказывать давление на соседние зубы, вызывая их смещение или неправильное положение [4](https://ls-stom.ru/informatsiya-dlya-patsientov/odontoma). \n* **Болезненность** — если одонтома достигает значительных размеров, пациент может испытывать боль или дискомфорт в поражённой области [4](https://ls-stom.ru/informatsiya-dlya-patsientov/odontoma). \n* **Ограничение подвижности челюсти** — в редких случаях большая одонтома может ограничивать открывание рта или движение нижней челюсти [4](https://ls-stom.ru/informatsiya-dlya-patsientov/odontoma).\n\n## Диагностика\nПреимущественно одонтому обнаруживают случайно во время рентгена челюсти или при развитии воспалительного процесса внутри новообразования [2](https://celitel05.ru/wiki/bolezni-zubov/odontoma-chto-eto-simptomy-i-prichiny-poyavleniya-obrazovaniya-metody-lecheniya/). Некоторые методы диагностики: \n* **Рентгенологические исследования** — ортопантомограмма, КТ челюсти [2](https://celitel05.ru/wiki/bolezni-zubov/odontoma-chto-eto-simptomy-i-prichiny-poyavleniya-obrazovaniya-metody-lecheniya/). При сложной одонтоме на рентгене видны организованные деформированные зубы или зубоподобные структуры [2](https://celitel05.ru/wiki/bolezni-zubov/odontoma-chto-eto-simptomy-i-prichiny-poyavleniya-obrazovaniya-metody-lecheniya/). \n* **Микрорентгенография** — метод для определения гистологических признаков образования с учётом особенностей поглощения рентгеновских лучей [2](https://celitel05.ru/wiki/bolezni-zubov/odontoma-chto-eto-simptomy-i-prichiny-poyavleniya-obrazovaniya-metody-lecheniya/). \n* **Гистологические исследования** — проводят для исключения злокачественных новообразований [2](https://celitel05.ru/wiki/bolezni-zubov/odontoma-chto-eto-simptomy-i-prichiny-poyavleniya-obrazovaniya-metody-lecheniya/).\n\n## Лечение\n**Основной метод лечения** — **хирургическое удаление опухоли** [4](https://ls-stom.ru/informatsiya-dlya-patsientov/odontoma). Некоторые варианты: \n* **Энуклеация** — наиболее распространённый метод, включает вскрытие полости рта, удаление опухоли вместе с капсулой и обработку костных стенок лунки [4](https://ls-stom.ru/informatsiya-dlya-patsientov/odontoma). После операции полость заполняется костным материалом для восстановления дефекта [4](https://ls-stom.ru/informatsiya-dlya-patsientov/odontoma). \n* **Резекция** — применяется, когда одонтома находится близко к корням зубов или другим важным анатомическим структурам [4](https://ls-stom.ru/informatsiya-dlya-patsientov/odontoma). 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