Citation Information :
Alhazmi YA. The Enigma Unveiled: Expansile Compound-complex Odontoma in the Anterior Maxilla of a Teenager. Int J Clin Pediatr Dent 2024; 17 (1):82-85.
Aim and objective: The objective of this case report is to offer insight into an expansive compound-complex odontoma located in the anterior maxilla of a 15-year-old male. The focus is placed on the importance of early detection and the progressive comprehension of odontomas.
Background: Odontomas are common odontogenic lesions that are frequently discovered during examinations for delayed tooth eruption. There are two distinct classifications for odontomas—compound odontomas and complex odontomas. With its own each set of characteristics. A timely diagnosis is critical for avoiding complications.
Case description: A male individual aged 15 years exhibited an expansive compound-complex odontoma located in the anterior maxilla. The clinical examination showed delayed tooth eruption and asymptomatic swelling. The radiographic images showed a radiopaque mass with tooth-like structures and radiolucent borders affecting the surrounding dentition. A surgical excision procedure was conducted, followed by a subsequent histopathological examination confirming the diagnosis of compound-complex odontoma. The patient continued orthodontic treatment after a 1-year follow-up without recurrence.
Clinical significance: This case emphasizes the importance of regular dental exams in detecting odontomas early. This observation also highlights the growing understanding of odontomas as hamartomatous odontogenic malformations and the challenges of diagnosing them clinically. Additional molecular investigations are required to facilitate the classification and elucidation of genetic factors.
Bilodeau EA, Hunter KD. Odontogenic and developmental oral lesions in pediatric patients Head Neck Pathol 2021;15(1):71–84. DOI: 10.1007/s12105-020-01284-3
Hidalgo-Sánchez O, Leco-Berrocal MI, Martínez-González JM. Metaanalysis of the epidemiology and clinical manifestations of odontomas. Med Oral Patol Oral Cir Bucal 2008;13(11):E730–734.
Soluk-Tekkeşin M, Wright JM. The World Health Organization classification of odontogenic lesions: a summary of the changes of the 2017 (4th) Edition. Turk Patoloji Derg 2018;34(1). DOI: 10.5146/tjpath.2017.01410
Satish V, Prabhadevi MC, Sharma R. Odontome: a brief overview. Int J Clin Pediatr Dent 2011;4(3):177–185. DOI: 10.5005/jp-journals-10005-1106
Marimuthu M, Prabhu AR, Kalyani P, et al. Complex-compound odontome with 526 denticles: a unique case report. Int J Clin Pediatr Dent 2022;15(6):789–792. DOI: 10.5005/jp-journals-10005-2460
Nguyen DK, Van Huynh D. Clinical and radiological characteristics of odontomas: a retrospective study of 90 cases. Imaging Sci Dent 2023;53(2):117–126. DOI: 10.5624/isd.20220184
Mazur M, Di Giorgio G, Ndokaj A, et al. Characteristics, diagnosis and treatment of compound odontoma associated with impacted teeth. Children (Basel) 2022;9(10):1509. DOI: 10.3390/children9101509
Soluk-Tekkesin M, Wright JM. The World Health Organization classification of odontogenic lesions: a summary of the changes of the 2022 (5th) edition. Turk Patoloji Derg 2022;38(2):168–184. DOI: 10.5146/tjpath.2022.01573
Ochsenius G, Ortega A, Godoy L, et al. Odontogenic tumors in Chile: a study of 362 cases. J Oral Pathol Med 2002;31(7):415–420. DOI: 10.1034/j.1600-0714.2002.00073.x
Buchner A, Merrell PW, Carpenter WM. Relative frequency of central odontogenic tumors: a study of 1,088 cases from Northern California and comparison to studies from other parts of the world. J Oral Maxillofac Surg 2006;64(9):1343–1352. DOI: 10.1016/j.joms.2006.05.019
Bereket C, Çakır-Özkan N, Şener İ, et al. Complex and compound odontomas: Analysis of 69 cases and a rare case of erupted compound odontoma. Niger J Clin Pract 2015;18(6):726–730. DOI: 10.4103/1119-3077.154209
Cheng FC, Yu-Fong Chang J, Chen MH, et al. Radiographic characteristics of odontomas in patients in the National Taiwan University Children's Hospital. J Dent Sci 2023;18(1):392–399. DOI: 10.1016/j.jds.2022.10.020
Ahuja VR, Jayanna R, Ahuja A, et al. Impacted mandibular premolar concomitant with compound-complex odontome in a 13-year-old girl: a case report. Int J Clin Pediatr Dent 2020;13(6):729–733. DOI: 10.5005/jp-journals-10005-1858
Khalifa C, Omami M, Garma M, et al. Compound-complex odontoma: a rare case report. Clin Case Rep 2022;10(4):e05658. DOI: 10.1002/ccr3.5658
Machado C de V, Knop LAH, da Rocha MCBS, et al. Impacted permanent incisors associated with compound odontoma. BMJ Case Rep 2015;2015:bcr2014208201. DOI: 10.1136/bcr-2014-208201
Mosqueda-Taylor A, Ledesma-Montes C, Caballero-Sandoval S, et al. Odontogenic tumors in Mexico: a collaborative retrospective study of 349 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;84(6):672–675. DOI: 10.1016/s1079-2104(97)90371-1
Tuczyńska A, Bartosik D, Abu-Fillat Y, et al. Compound odontoma in the mandible–case study and literature review. Dev Period Med 2015;19(4):484–489.
Levi-Duque F, Ardila CM. Association between odontoma size, age and gender: multivariate analysis of retrospective data. J Clin Exp Dent 2019;11(8):e701–706. DOI: 10.4317/jced.55733
Gedik R, Müftüoğlu S. Compound odontoma: differential diagnosis and review of the literature. West Indian Med J 2014;63(7):793–795. DOI: 10.7727/wimj.2013.272
Saravanan R, Sathyasree V, Manikandhan R, et al. Sequential removal of a large odontoma in the angle of the mandible. Ann Maxillofac Surg 2019;9(2):429–433. DOI: 10.4103/ams.ams_102_19