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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Odontomas frequently can inhibit the eruption of adjacent teeth.

Louis, Mo, USA, 6th edition, Benign tumours of the jaws. However, mature enamel oeontoma lost during the decalcification processing and will not be seen on conventional haematoxylin and eosin stained slides. Complex odontoma is a common odontogenic tumor, and it is usually a hard painless mass, which rarely exceeds diameter of the tooth.

Odontoma – Wikipedia

Large erupting complex odontoma: View at Google Scholar W. Intraoral photograph Click here to view. Discussion Odontomas are commonly encountered in the first and second decades of life, and are accepted as developmental anomalies hamartomas rather than true neoplasms.

An 8-year-old girl presented to her dentist for a routine dental examination. The tissues may form non-descript masses of dental tissues known as complex odontomas to multiple, well-formed tooth like structures known as compound odontomas. Periapical radiographs taken at the time of implant placement showed no signs of recurrence or complications at the surgical site Figure 9.

A complete intraoral and extraoral examination was carried out. To receive news and publication updates for Case Reports in Dentistry, enter your email address in the box below. Diagnosis The gross specimen consisted of six malformed tooth-like structures.


Related articles Compound complex odontoma hamartoma odontogenic tumor radiopacities. Am J Orthod Dentofacial Orthop. The compound odontoma recapitulates the organization of a normal tooth, while the complex odontoma appears as a disorganized mass of hard odontogenic tissue.

Page views in Differential diagnosis must be established with ameloblastic odontooma, ameloblastic fibroodontoma, and odonto ameloblastoma.

Pathology Outlines – Odontoma

Images hosted on other servers: This article has been cited by other articles in PMC. J Oral Maxillofac Surg.

Abstract Odontomas have been extensively reported in the dental literature, and the term refers to tumors of odontogenic origin. The Journal of Craniofacial Surgery.

A provisional diagnosis of compound odontome was made.

Case Reports in Dentistry

A provisional diagnosis of odontome was given. After thorough curettage, the wound was closed using 3—0 vicryl and the specimen was sent for histopathological examination Conpound 7. Complex odontomas appear as a radiodense mass of hard tissues which may result in a broader differential diagnosis [ 3 ]. The aim of this compoun 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.

Compound odontomas are more commonly found in the anterior maxilla, and appear as a collection of small teeth, leaving few entities in the radiographic differential diagnosis except, perhaps, a supernumerary tooth 4 The relationship is similar to that of normal teeth.

Delayed eruption of maxillary primary cuspid associated with compound odontoma. Sitemap What’s New Feedback Disclaimer. Here, we report a case of a compound odontome in a 14 year old patient. 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.


CT scan revealed both lingual and buccal cortical plate perforations and the extent of the lesion in anteroposterior direction Figures 4 and 5. These tooth-like structures were surgically removed and subjected to histopathological examination. Advanced Search Users Online: The most frequent clinical signs are delayed eruption, persistence of the temporal tooth, and the presence of a tumor.

Odontomw main types of odontoma are described: The origin of complex odontoma is unknown; some suggest trauma or infection to be the cause. Odontomas are the most common odontogenic tumours.

Histologically the complex odontoma is characterized by sheets of immature tubular dentin with encased hallow tooth like structures. They are considered to be hamartomas rather than neoplasms, and are composed of the tissues native to teeth: Subdivided into compound odontoma and complex odontoma The most common odontogenic tumor Can obstruct the path of erupting teeth Most recent WHO Odonyoma of Head and Neck Tumours regards majority of ameloblastic fibro-odontomas as developing odontomas rather than a distinct tumor IARC: Complex odontomas occur in mandibular first and second molar region with slight or marked bony expansion [ 5 ].

After three months, the definitive prosthetic restoration will be performed with a cemented porcelain-fused-to-metal single-unit crown. The purpose of this technique is to preserve as much as possible the surrounding bone tissue in order to orontoma healing and cause less discomfort to the patient during postoperative time. Clinical and Pathological Correlations.

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