Odontomas are the most common type of odontogenic tumors. During tooth development stages, any defect in the maturation phase of morphodifferentiation leads to such anomalies. Odontomas are benign, slow-growing, and non-aggressive clinically asymptomatic. This paper describes the case of complex odontoma. A 7-year-old male child reported an asymptomatic hard growth in the right anterior region of the mandible associated with impacted deciduous canine. Radiograph revealed an amorphous mass of calcified material with a radiodensity similar to the tooth structure, with anatomically no resemblance to the tooth, surrounded by a thin radiolucent rim, suggestive of odontoma. Under local anesthesia, access to the lesion was achieved via intraoral approach and surgical excision to enable the eruption of retained permanent canine to establish harmony in the development of dental arch.
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