A compound composite odontoma associated with unerupted permanent incisor: a case report

Abstract

Odontomas are the most common type of odontogenic tumors and are generally asymptomatic. Frequently they interfere with the eruption of the teeth. This is the case report of a compound composite odontoma in an 11 years old girl, which resulted in failure of eruption of the permanent maxillary right central incisor while the contralateral tooth had erupted. A calcified mass was seen in the radiograph and was provisionally diagnosed as odontoma following which the odontoma was enucleated. Routine follow-up was done for 1½ years and no recurrence was seen.

Keywords: Compound odontoma; odontogenic tumor; unerupted incisor..

Fig. 1:

Unerupted permanent maxillary right central incisor in a 11-year old patient

Fig. 2:

IOPA radiograph showing the presence of a radiopaque mass in the region of unerupted tooth

Fig. 3:

Orthopantomograph showing the presence of a radiopaque mass in the region of unerupted tooth

Fig. 4:

Enucleation of the odontome

Fig. 5:

The calcified mass which was removed surgically

Fig. 6:

An orthodontic bracket was bonded to the labial surface of the incisor crown

Fig. 7:

A palatal arch with a hook was cemented to maxillary first permanent molars

Fig. 8:

Traction force was applied on the tooth using orthodontic elastics

Fig. 9:

Photomicrograph of the decalcified section of the odontoma showing dentinal tubules

Fig. 10:

The position of the impacted tooth was determined on IOPA radiograph by drawing a perpendicular line from the most apical point on the incisal edge of the impacted tooth

Fig. 11:

The permanent maxillary right central incisor in its position after the treatment