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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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Histopathological examination confirmed the diagnosis of complex odontoma. Neither the patient nor her parents could recall any history of pain or swelling in the area. The patient was referred to the orthodontist to continue the treatment and subsequently the surgery will be programmed for implant placement. Usually, odontomas can be confidently subclassified based on the radiographic appearance alone.

The development of the odontoma is commonly associated with eruption failure of permanent teeth, impaction, and delayed exfoliation of primary teeth [ 17 — 21 ]. Meghanaand Sandip R. An impacted second molar with 1 4th root development was also seen Figure 3. Odontogenic cysts and tumors; pp. The odonroma of choice for compound odontomas is surgical removal, followed by histopathological analysis to confirm the diagnosis [ 722 — 25 ].

The common signs and symptoms include impacted permanent teeth and swelling.

Compound Odontoma: Differential Diagnosis and Review of the Literature

View at Google Scholar S. Gardner syndrome familial colorectal polyposis Otodental syndrome Multiple supernumerary teeth similar radiographic appearance can occur as a component of cleidocranial dysostosis or arise in non syndromic setting.

A complete intraoral and extraoral examination was carried out. View at Google Scholar W. Compoknd tooth-like structures were surgically removed and subjected to histopathological examination.

Compound Odontoma: Differential Diagnosis and Review of the Literature

Gorlin syndrome, also known as nevoid basal cell carcinoma syndrome, is associated with basal cell carcinomas, odontogenic keratocysts and fibromas ovarian and heart. Cysts and tumors of odontogenic origin. Odontomas are considered to be developmental anomalies hamartomas rather than true neoplasms. Odontogenic cysts and tumors.


Compound Odontoma

J Oral Maxillofac Surg. A second flap was performed on the vestibular side for the extraction of single structures of odoontoma odontoma Figure 7.

Introduction Odontomas are an abnormal mass of calcified dental tissue, usually representing a developmental abnormality. Surgical management of a large complex odontoma of the mandibular angle-ramus region through intra-oral buccal approach — a case report.

Odontomas are commonly encountered in the first and second decades of life, and are accepted as developmental anomalies hamartomas rather than true neoplasms. The compound odontoma recapitulates the organization of a normal tooth, while the complex odontoma appears as a disorganized mass of hard odontogenic tissues [ 1 ].

The patient had no history of trauma. Though most cases are found impacted within the jaw there are instances where odontomas have erupted into the oral cavity. An increased number of odontomas were found in people with Gardner’s syndrome which is a heritable syndrome [ 9 ].

Subscribe to Table of Contents Alerts. Odontoma is a benign odontogenic tumor. The odontoma is a benign tumor containing all the various component tissues of the teeth. J Int Oral Health ;4: Discussion Odontomas are the most common odontogenic tumor.

Images hosted on other servers: There is no gender predilection and most lesions are detected on routine radiographs. Compound odontoma associated with impacted maxillary incisors.

Odontomas are further sub-classified based upon their gross and radiographic features into compound small tooth like structures or complex a conglomeration of dentin, enamel and cementum [ 1 ].

Compound odontoma

Intraoral examination showed the presence of the primary right canine over the physiological period of exfoliation, which meant no correspondence between chronological and dental ages Figures 1 a and 1 b. Although they are commonly asymptomatic, odontpma indicators of odontoma may include retention of deciduous teeth, noneruption of permanent teeth, pain, expansion oddontoma the cortical bone and tooth displacement 9 — Impacted maxillary central incisor, canine, and second molar with 2 supernumerary teeth and an odontoma.


Reddy will act as guarantor and assure that the paper is not under consideration for publication in any other journal and odontoam not published previously will correspond with the journal from this point onward. Gross specimen of the surgically removed odontomas showing three tooth-like structures.

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Complex odontomas occur in mandibular first and second molar region with slight or marked bony expansion [ 5 ]. They are considered to be hamartomas rather than neoplasms, and are composed of the tissues native to teeth: How to cite this URL: Subdivided into compound odontoma and complex odontoma The most common odontogenic tumor Can obstruct the path of erupting teeth Most recent WHO Classification of Head and Neck Tumours regards majority of ameloblastic fibro-odontomas as developing odontomas rather than a distinct tumor IARC: Shafer’s Textbook of Oral Pathology.

The aim of this case report is to describe a minimally invasive surgical procedure to remove a compound odontoma localized in the premaxilla area associated with an unerupted permanent maxillary canine. Usually, odontomas can be confidently subclassified based on the radiographic appearance alone 1 — 7.

Complex odontomas appear as a radiodense mass of hard tissues which may result in a broader differential diagnosis [ 3 ]. Generally, odontomas have been associated with trauma during primary dentition as well as with inflammatory and infectious processes, hereditary anomalies Gardner syndrome, Hermann’s syndromeodontoblastic hyperactivity and alterations in the genetic components responsible for controlling dental development 1 — 8. Radio opaque lesion surrounded by radiolucent zone.