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Case Reports
. 2022 Apr 4;10(4):e05658.
doi: 10.1002/ccr3.5658. eCollection 2022 Apr.

Compound-complex odontoma: A rare case report

Chaima Khalifa  1   2 , Mounir Omami  1   2 , Maroua Garma  1   2 , Afef Slim  1   2 , Sameh Sioud  1   2 , Jamil Selmi  1   2
Affiliations
Case Reports

Compound-complex odontoma: A rare case report

Chaima Khalifa et al. Clin Case Rep. .

Abstract

The World Health Organization (WHO) classifies odontomas as odontogenic tumors, consisting of odontogenic epithelium and ectomesenchyme. They result from developmental abnormalities and, therefore, do not constitute authentic tumors. It is a local malformation that has no growth autonomy. They are rarely symptomatic and are usually discovered accidentally during the realization of a radiographic examination. There are two variants of odontomas: complex and compound. Complex odontomas are made of a mass consisting of an anarchic assembly of mineralized tissue (enamel, dentin, and cementum) and dental pulp; while compound odontomas are consisting of a set of small rudimentary teeth, assembling in clusters. They rarely show the features of both types together. The aim of this work is to report a rare presentation of an odontoma in a 24-year-old male patient, which present the characteristics of both complex and compound variants. Surgical excision of the lesion was performed. Anatomopathological examination confirmed the diagnosis. Clinical and radiological survey does not show any recurrence.

Keywords: compound‐complex odontoma; odontogenic tumor; odontoma; radio‐opacities.

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Conflict of interest statement

The authors declare that they have no conflict of interest or sources of funding for this particular study.

Figures

FIGURE 1
FIGURE 1
Cone Beam Computed Tomography (CBCT) findings of radio‐opacities in the right posterior region of the mandible. (A) CBCT panoramic reconstruction showing the extension of the lesion. (B) Coronal CBCT view showing expansion of the buccal bone cortical and an assemblage of teeth‐like structures. (C) Coronal CBCT view showing an anarchic radiopaque image
FIGURE 2
FIGURE 2
The excised specimen composed of calcified part and teeth‐like structures
See this image and copyright information in PMC

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