Citation Information :
Aggarwal P, Singh K, Anand P, Jhingan P, Malik M, Mathur S. Compound Odontoma in Anterior Maxilla in a 10-year-old Pediatric Patient: A Case Report with 44 Denticles Extracted. J South Asian Assoc Pediatr Dent 2023; 6 (2):86-90.
Background: Odontomas are the most common odontogenic hamartomas worldwide. These can be compound or complex.
Case description: A 10-year-old male child reported a chief complaint of delayed eruption of permanent teeth in the upper front tooth region. Clinical examination revealed unerupted 21 and 22 with retained deciduous lateral incisors.
Further, an orthopantomogram (OPG) was done, which revealed the presence of multiple small radiopaque teeth-like structures in the apical region of the retained deciduous lateral incisor 62 surrounded by a narrow radiolucent halo. Cone-beam computed tomography (CBCT) was done as a confirmatory test.
A final diagnosis of compound odontoma was made, and conservative surgical enucleation was the treatment of choice.
A total of 44 denticles were removed along with the follicle. They were sent for a biopsy, which confirmed the diagnosis as compound odontoma.
Conclusion: It is crucial to diagnose these tumors early for a better prognosis.
Rana V, Srivastava N, Kaushik N, et al. Compound odontome: a case report. Int J Clin Pediatr Dent 2019;12(1):64–67. DOI: 10.5005/jp-journals-10005-1575
Budnick SD. Compound and complex odontomas. Oral Surg Oral Med Oral Pathol 1976;42(4):501–506. DOI: 10.1016/0030-4220(76)90297-8
Amado Cuesta S, Gargallo Albiol J, Berini Aytés L, et al. Review of 61 cases of odontoma. Presentation of an erupted complex odontoma. Med Oral 2003;8(5):366–373. PMID: 14595262.
Morgan PR. Odontogenic tumors: a review. Periodontol 2000 2011;57(1):160–176. DOI: 10.1111/j.1600-0757.2011.00393.x
Vengal M, Arora H, Ghosh S, et al. Large erupting complex odontoma: a case report. J Can Dent Assoc 2007;73(2):169–173. PMID: 17355809.
An SY, An CH, Choi KS. Odontoma: a retrospective study of 73 cases. Imaging Sci Dent 2012;42(2):77–81. DOI: 10.5624/isd.2012.42.2.77
Iatrous I, Vardas E, Theologie-Lygidakis N, et al. A retrospective analysis of the characteristics, treatment and follow-up of 26 odontomas in Greek children. J Oral Sci 2010;52(3):439–447. DOI: 10.2334/josnusd.52.439
Bhaskar, SN. Odontogenic tumors of jaws. In: Synopsis of oral pathology. 7th ed. US: Elsevier Mosby Year Book 1986. pp. 292–303.
Bimstein E. Root dilaceration and stunting in two unerupted primary incisors. ASDC J Dent child 1978;45(3):223–225. PMID: 277447.
Tomizawa M, Otsuka Y, Noda T. Clinical observations of odontomas in Japanese children: 39 cases including one recurrent case. Int J Paediatr Dent 2005;15(1):37–43. DOI: 10.1111/j.1365-263X.2005.00607.x
Yeung KH, Cheung RC, Tsang MM. Compound odontoma associated with an unerupted and dilacerated maxillary primary central incisor in a young patient. Int J Paediatr Dent 2003;13(3):208–212. DOI: 10.1046/j.1365-263x.2003.00456.x
Saadettin, Dagistan, Mustafa, et al. Compound odontoma associated with maxillary impacted permanent central incisor tooth: a case report: the internet. J Dent Sci 2007;5:1–6.