The term is now used to denote leasions that contain all the dental tissues and includes two types, the complex and the compound odontoma.[1] According to the. A case of compound odontomas of the anterior maxilla is discussed. Multiple tooth like structures were discovered upon surgical excision. An odontoma (also termed odontome) is a benign tumour of odontogenic origin Specifically, it A compound odontoma still has the three separate dental tissues (enamel, dentin and cementum), but may present a lobulated appearance.

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A retrospective study of cases. The authors declare that there is no conflict of interests regarding the publication of this paper. Coronal and axial sections of computed tomography revealed a well-demarcated hyperdense lesion, located at the level of the apices of deciduous incisors [Figure – 3].

Louis, Mo, USA, 3rd edition, Postoperative intraoral photograph showing good healing of the surgical site. Pediatric Oral and Maxillofacial Surgery. Retrieved from ” https: We report a rare case of compound odontoma in the mandible of an adult patient with clinical and radiological features and a review of the literature.

A large ameloblastic fibro-odontoma of the right mandible. Radiographs revealed a lesion of the anterior maxilla. Complex odontomas occur in mandibular first and second molar region with slight or marked bony expansion [ 5 ].


A panographic radiograph showed a collection of tooth-like structures with a narrow radiolucent rim apical to the deciduous canine, lateral and central incisors in the right maxilla. After hemostasis, the area was irrigated with saline and the mucoperiosteal flap compoumd sutured back [Figure – 7]. Review of the literature and presentation of cases. It is caused by PTCH1 mutations.

The majority of odontomas are asymptomatic, although swelling, pain, suppuration, bony expansion, and displacement of teeth have been rarely observed. The term odontoma was first coined by Broca ; he defined it as a tumor formed by an overgrowth of complete dental tissues [ 1 ].

Abstract Odontomas represent the most common type of odontogenic benign jaws tumors among patients younger than 20 years of age.

We present an interesting case of large complex odontoma of mandible in a young boy with marked bony expansion and impaction of lower second molar. Benign tumours of the jaws. These tooth-like structures were surgically removed and subjected to histopathological examination.

Further, an OPG was advised. A Textbook of Oral Pathology. Currently, the treatment is underway and the teeth are being extruded and aligned orthodontically [Figure – 10].

Complex composite odontoma and World Record teeth | BMJ Case Reports blog

Most odontomas are discovered accidently, thus further supporting the use of radiography as an indispensable tool in routine dental clinical examination.

J Oral Maxillofac Surg. After three months, the definitive prosthetic restoration will be performed with a cemented porcelain-fused-to-metal single-unit crown. Images hosted on PathOut server: The swelling had no associated symptoms.


fompound Compound composite odontome associated with impacted canine. Complex odontomas are less common than the compound variety in the ratio 1: They are usually asymptomatic and are often discovered during routine radiography.

Case Reports in Dentistry

There was slight discontinuity in mucosa distal to the right first molar Figure 2. The patient was referred to the orthodontist to continue the treatment and subsequently the surgery will be programmed for implant placement. WB Saunders Company; Colour Atlas of Oral Disease: Published online Aug Orthodontic treatment may be indicated compojnd correct any malocclusion. New author database being installed, click here for details. Rarely, an odontoma may erupt into the oral cavity [ 3 ]. fompound

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Mixed epithelial and mesenchymal tumor-like malformation hamartoma composed of dental hard and soft tissues. An impacted second molar with 1 4th root development was also seen Figure 3.

The level of differentiation may vary, creating various formations of dental tissues enamel, dentin, cementum and pulp. Subscribe to Table of Contents Alerts. Preoperative frontal view showing swelling over right lower jaw.