Odontomas are hamartomatous lesions composed of mature enamel, dentin, and pulp, and may be compound or complex depending on the extent of. This article presents surgical management of excision complex odontoma in year-old female patient followed with prosthetic rehabilitation. 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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A report of three cases and review of the literature. Odontogenic epithelial rests along with loose myxoid connective tissue may be found in close association with the lesion. Pathology and genetics of the head and neck tumors.

Plast Reconstr Surg ; Eruption of odontoma in the oral cavity is an extremely rare occurrence. Quintessence Int ; 35 8: To receive news and publication updates for Case Reports in Dentistry, enter your email address in the box below. Various factors such as prior trauma odkntoma infection appear to be involved, however, the exact etiology of odontoma formation is not known.

Conclusion Conflicts of Interest References. An unusual complex odontoma.

From Wikipedia, the free encyclopedia. They are formed due to budding of extra odontogenic epithelial cells originating from the dental lamina.

Cohen DM, Bhattacharyya I. Complex odontoma, maxillary second molar, panoramic radiograph. There was associated dull aching, localized intermittent pain.


There have been isolated reports of odontomas in the maxillary sinus 8.

Odontoma – Wikipedia

The WHO histological typing of odontogenic tumors. Hitchin has said that odontomas are inherited or developed as a result of genetic mutation [ 8 ]. Incisional biopsy was done under LA and the specimen sent for histopathological examination which showed masses of dysplastic dentin and fragments of enamel matrix.

The odontoma is a benign tumor containing all the various component tissues of the teeth. Complex odontomas occur in mandibular ldontoma and second molar region with odontomaa or marked bony expansion [ 5 ]. Patil et al reported a case of large complex odontome involving the mandible and measuring about 5 cm in diameter in a 23 yr old male patient [ 14 ].

Unerupted maxillary primary canine associated with compound composite odontoma.

Large Complex Odontoma

Report of a case. Considering the clinical and radiographic presentations, diagnosis of complex odontoma was made. The ground section of the tissue showed the presence of enamel and cemental globules with irregularly arranged dentinal tubules around a pulp-like tissue [ Figure 3 ]. An odontoma also termed odontome [1] [2] is a benign tumour [3] of odontogenic origin i. Based on this, the clinical hypotheses of giant complex odontoma and ameloblastic fibro-odontoma were raised.

Intraoperative photograph showing macroscopic picture of odontoma being excised from left maxillary sinus. Dentigerous cyst associated with multiple complex composite odontomas.

Case Reports in Dentistry

Tejasvi A, Balaji M. This paper reports two cases of complex odontomas with such unusual features. Eruption of the odontoma in the oral cavity is a rare occurrence with the first case being reported by Rumel et al in [ Journal of Dental Research, Dental Clinics, Dental Prospects: Conclusion The authors present a case report of a complex odontoma that was painless, unusually large, and associated with missing 1 st and 2 nd left mandibular molars.


This paper describes an unusual case of a giant complex odontoma with 6 cm diameter in the mandibular symphysis of a young boy, which produced remarkable expansion and thinning of the cortical bone, as well as significant dental displacement and impaction. The intraoral examination revealed a bulging of the vestibular cortical bone with ill-defined limits encompassing the region from the permanent right first premolar to left one.

Odontomas are hamartomatous malformations rather than a true neoplasm consisting of ectodermal and mesodermal components.

Although rare in occurrence, it is important to diagnose complex odontomas that form in association with missing teeth.

Dental tumors ICD-O Ghost cells are especially seen in complex odontoma Figure 8. Wound dehiscence due to breakdown of collagen sheet Figure 4 b: Siva Prasad Reddy et al. Case Reports in Dentistry. The complex odontoma consists of a conglomerate mass of enamel and dentin, which bears no anatomic resemblance to odontomq tooth.