International Journal of Clinical Pediatric Dentistry

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VOLUME 17 , ISSUE 6 ( June, 2024 ) > List of Articles

CASE REPORT

A Fortuitous Finding of Asymptomatic Compound Odontoma Consisting of 156 Denticles on a Routine Radiographic Examination: A Case Report

Seethalakshmi Chiranjeevi, Sri Neeraja Prabhuraj

Keywords : Anterior mandible, Case report, Complex odontoma, Compound odontoma, Odontoma, Odontogenic tumor

Citation Information : Chiranjeevi S, Prabhuraj SN. A Fortuitous Finding of Asymptomatic Compound Odontoma Consisting of 156 Denticles on a Routine Radiographic Examination: A Case Report. Int J Clin Pediatr Dent 2024; 17 (6):723-727.

DOI: 10.5005/jp-journals-10005-2913

License: CC BY-NC 4.0

Published Online: 22-08-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Odontomas are the most common odontogenic tumors and are classified into compound and complex types. They result from a combination of odontogenic epithelium and ectomesenchyme. Complex odontomas frequently occur in the posterior mandible, whereas compound odontomas are more commonly found in the anterior region of the maxilla. Due to their small size and asymptomatic nature, odontomas are often diagnosed incidentally. Typically, odontomas are <3 cm in diameter; those exceeding this size are classified as giant odontomas and may present with extraoral swelling. This case report documents an unusual instance of a giant compound odontoma, containing 156 denticles, in a 15-year-old girl. Despite the odontoma's large size in the mandibular anterior region—an uncommon site for compound odontomas—the patient was completely asymptomatic and presented with only intermittent pain in the lower right back tooth region over the past month. The denticles were extracted, and intentional root canal treatment was performed on teeth 41, 42, 31, and 32 under general anesthesia.

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