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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The patient was referred to the orthodontist to continue the treatment and subsequently the surgery will be programmed for implant placement. The postoperative period was uneventful. Compound odontomas are regularly calcified tissue that dompound similarity to teeth or appear as a collection of small teeth.

Odontogenic cysts and tumors. An 8-year-old girl presented to her dentist for a routine dental examination.

Page views in Usually, the compound odontoma appears as a collection of compouund structures surrounded by a narrow radiolucent zone. An impacted second molar with 1 4th root development was also seen Figure 3. Clinical symptoms are uncommon, however, an affected patient may present when a compoudn tooth or multiple teeth that fail to erupt [ 2 ].

Most odontomas are discovered accidently, thus further supporting the use of radiography as an indispensable tool in routine dental clinical examination. Odontomes must be surgically removed, in order to prevent cyst formation and possible conversion to odonto-ameloblastoma. Author information Copyright and License information Disclaimer. Subscribe to Table of Contents Alerts.

Compound Odontoma

Adenomatoid odontogenic tumor Keratocystic odontogenic tumour. Histologically similar to the layering of normal tooth in the relation of dentin, enamel matrix and pulp Complex: Generally, as in the index case, 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 1 — 4.


Indexed in Web of Science. Preoperative OPG showing the mixed radiopaque-radiolucent lesion Click here to view. They are considered to be hamartomas rather than neoplasms, and are composed of the tissues native to teeth: View at Google Scholar M. Therefore, the bone tissue removal around the wound was minimized, making the surgical steps of lesion and tooth removal more complicated. Compound composite odontome associated with impacted canine.

Histopathological section showing enamel and dentin-like structure Click here to view. Scant enamel matrix was identified Fig. The term “odontoma” was coined by Paul Broca in The teeth were surgically exposed at a later date and brackets were bonded on to the teeth [Figure – 8] and [Figure – 9].

Dentinal tubules and abundant interglobular dentin was seen. The swelling had no associated symptoms. The wound was carefully irrigated with physiological solution and cleaned with a sterile dressing; the flap was repositioned and sutured with 3.

The development of the odontoma is commonly associated with eruption failure of permanent teeth, impaction, and delayed exfoliation of primary teeth [ 17 — 21 ].

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

They appeared yellowish-white in color and were hard in consistency. J Can Dent Assoc. Hematoxylin and eosin stained material showed tooth-like structures composed of dentin and cementum with centrally located loose fibrous tissue, representing pulp tissue Fig.

A dentigerous cyst containing an ectopic canine tooth below the floor of the maxillary sinus: Dhanuthai K, Kongin K. A part of the specimen was studied by making a ground section.


Radiographically, odontomas present as a well-circumscribed radiolucency resembling a dental follicle or dentigerous cyst. Impaction has been defined as the prevention of the eruption of a tooth to the expected times into a normal functional position due to the presence of an obstacle or reasons of different nature [ 812 ].

Compound Odontoma

Radiographically, complex odontoma appears as a radioopaque mass which does not resemble tooth structure. WB Saunders Co; Reddy will act as guarantor and assure that the paper is not under consideration for publication in any other journal and is not published previously will correspond with the journal from this point onward. A large ameloblastic fibro-odontoma of the right mandible. Rajendran R, Sivapathasundharam B, editors.

Niger Postgrad Med J. They develop from epithelial and mesenchymal components of the dental apparatus, producing enamel and dentin. A Textbook of Oral Pathology.

Neville, Damm, Allen, Bouquet. Compound odontomas are often associated with impacted adjacent permanent teeth and their surgical removal represents the best therapeutic option. West Indian Med J. Please review our privacy policy. They occur in the first and second decade of life [ 3 ].

On microscopic examination of hematoxylin and eosion H and E stain section, normal appearing odontkma spaces, dentin and pulp tissue were seen, and they were exhibiting a regular relation to one another. The term is now used to denote leasions that contain all the dental tissues and includes two types, the complex and the compound odontoma.