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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Discussion Odontomas are commonly encountered in the first and second decades of life, and are accepted as developmental anomalies hamartomas rather than true neoplasms.

The majority of odontomas are asymptomatic, although swelling, pain, suppuration, bony expansion, and displacement of teeth have been rarely observed. Neither the patient nor her parents could recall any history of pain or swelling in the area. Review of the literature and presentation of cases. Odontomas are an abnormal mass of calcified dental tissue, usually representing a developmental abnormality. Cohen DM, Bhattacharyya I. Gross specimen of the surgically removed odontomas showing three tooth-like structures.

Surgical Management of Compound Odontoma Associated with Unerupted Tooth

The authors declare that there is no conflict of interests regarding the publication of this paper. Odontomas are slow-growing, asymptomatic neoplasms found in jaws. The swelling had increased considerably in size.


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Otherwise these tumors are asymptomatic and are generally diagnosed on radiographic examination. The compound odontoma recapitulates the organization of a normal tooth, while the complex odontoma appears as a disorganized mass of hard odontogenic tissue. Histopathological compounc confirmed the diagnosis of complex odontoma. A provisional diagnosis of compound odontome was made.

The wound was carefully irrigated with physiological solution co,pound cleaned with a sterile dressing; the flap was repositioned and sutured with 3.

View at Google Scholar W. A large ameloblastic fibro-odontoma of the right mandible. A case of a year-old male patient with a compound odontoma-associated of impacted maxillary canine is presented. Odontogenic tumours and tumour like lesions of the jaws.

After thorough curettage, the wound was closed using 3—0 vicryl and the specimen was sent for histopathological examination Figure 7. Diagnosis The gross specimen consisted of six malformed tooth-like structures. Ideally, odontomas should be removed when the permanent teeth adjacent to the lesion exhibit about one half of their root development because this ensures safety of the normal permanent teeth and prevents interference with their eruption.

Multiple compound odontomas in the jaw: The subject had no significant medical history and had not reported oral trauma or infections.

Hematoxylin and eosin stained material showed tooth-like structures composed of dentin and cementum with centrally located loose fibrous tissue, representing pulp tissue Fig. Many asymptomatic; discovered upon exploring potential causes of Asymmetric tooth eruption Malposition of erupted teeth Occasional devitalization of adjacent teeth Can become symptomatic due to local infection sinusitis, infected adjacent tooth, exposure of odontoma to oral environment, etc and can present with swelling and pain Size: The tissue was decalcified, and processed via formalin fixation.


Louis, Mo, USA, 6th edition, The case described in this report was initially diagnosed as compound odontoma based on the radiographic findings.

Compound Odontoma

Adenomatoid odontogenic tumor Keratocystic odontogenic tumour. Compound odontomas are often associated with impacted adjacent permanent teeth and their surgical removal represents the best therapeutic option. The treatment of choice is surgical excision of the lesion followed by histopathological study to confirm the odonroma.

The treatment of choice for compound odontomas is surgical removal, followed by histopathological analysis to confirm the diagnosis [ 722 — 25 ].

Images hosted on PathOut server: Compound odontomas are more common in the anterior jaws, while complex odontomas occur more often in the posterior jaws. Open in a separate window. Orphanet J Rare Dis ;1: