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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Diagnostic Histopathology of Tumors: Table of Contents Alerts. A histological evaluation is necessary to confirm the correct diagnosis of odontoma.

Multiple compound odontomas in the jaw: Abstract A case of compound odontomas of the oodontoma maxilla is discussed. Surgical management of a large complex odontoma of the mandibular angle-ramus region through intra-oral buccal approach — a case report. Radiographic examination revealed multiple dense radio-opaque structures contained in a radiolucent cavity surrounded by a corticated border in relation to the apices of the deciduous maxillary right incisors [Figure – 2] a and b.

Intraoral examination revealed missing mandibular right second molar tooth. There is an increased risk of certain forms of cancer, including breast, thyroid, endometrial and kidney cancers. Retrieved from ” https: This conservative approach allowed saving precious bone ridge and avoiding the formation of tissue defects; therefore it was not necessary to use filler materials or to perform guided bone regeneration procedures unlike other cases reported in the literature [ 25 ].

Most lesions are detected on routine radiographs 1 — 8. Compound odontoma, hamartoma, odontogenic tumor. Intraoral photograph Click here to view. Odonhoma and past medical history were non-contributory.


Compound Odontoma: Differential Diagnosis and Review of the Literature

However, mature enamel is lost during the decalcification processing and will not be seen on conventional haematoxylin and eosin stained slides. Histopathological examination confirmed the diagnosis of complex odontoma. Large erupting complex odontoma: Presence of cementum was not evident [ Figure 3 ].

Impacted maxillary central incisor, canine, and second molar with 2 supernumerary teeth and an odontoma. J Oral Maxillofac Pathol.

Pathology Outlines – Odontoma

An increased number of odontomas were found in people with Gardner’s odontomq which is a heritable syndrome [ 9 ]. The authors declare that there is no conflict of interests regarding the publication of this paper.

Odontomas have been extensively reported in the dental literature, and the term refers to tumors of odontogenic origin. Multiple compound odontomas in the jaw: Recurrence of complex odontomas is very rare.

Compound Odontoma

The soft tissue lining was suggestive of the dental follicle. The term odontoma was first coined by Broca ; he defined it as a tumor formed by an overgrowth of complete dental tissues [ 1 ]. Post-operative OPG Click here to view. Postoperative intraoral photograph showing good healing of the surgical site. The treatment of choice is not always surgical removal of the lesion, unless the patient had a history of pain or swelling in the area.

The retained teeth were extracted and a full thickness mucoperiosteal flap was reflected. Most common odontogenic tumor Usually diagnosed during the first two decades of life No sex predilection. Usually, odontomas can be confidently subclassified based on the radiographic appearance alone 1 — 7.



We report a rare case of complex odontoma of mandible in a young boy. Gardner syndrome, a variant of familial adenomatous polyposis FAPis an autosomal dominant disease characterized by GI polyps, multiple osteomas, skin and soft tissue tumors such as epidermal inclusion cysts and desmoid tumors.

Complex composite odontoma and World Record teeth | BMJ Case Reports blog

The majority of the lesions are asymptomatic; however, may be accompanied with pain and swelling as secondary complaints in some cases.

It is caused by PTCH1 mutations. The permanent incisors were displaced with only a small rim of bone present between the nasal cavity and central incisor. Abstract Odontomas represent the most common type of odontogenic benign jaws tumors among patients younger than 20 years of age.

Introduction According to the World Health Organization classification, odontoma is an odontogenic benign tumor of the young age [ 1 ]. Here, we report a case of a compound odontome in a 14 year old patient. Though most cases are found impacted clmpound the jaw there are instances where odontomas have erupted into the oral cavity.

Compound odontomas are often associated with impacted adjacent permanent teeth and their surgical removal represents the best therapeutic option.

The final alignment of the teeth will be completed after the eruption odonroma the canine teeth. Histopathological section showing haphazardly arranged enamel and dentin Click here to view. Support Center Support Center.