Introduction
Odontomas are common odontogenic tumors and are classified into compound or complex tumors1. In this case, a 17-year-old boy reported to the university clinic with a problem of missing teeth. On intra-oral examination, the patient had a missing left lateral incisor and canine, and ‘Denticles’ were present on the gingiva in the affected area2(Figure1). The patient was asymptomatic on palpation, and the denticles demonstrated biofilm and gingival inflammation around them. Radiographic analysis demonstrated the presence of various irregular tooth structures made up of a crown and the root without bony involvement (Figure 2). The permanent left maxillary lateral incisor and canine were impacted due to their eruptive path being obstructed. Based on these findings, the case was diagnosed as that of Peripheral compound Odontoma. Since the patient was looking for orthodontic treatment, the patient was advised to remove the Odontoma and undergo fixed appliance therapy. Radiologic examination after the alignment of the affected teeth revealed that the lateral incisor root was dilacerated, requiring careful management after that (Figure 3). Dentists must be aware of such problems as these, if not removed, will gradually increase in size and lead to other problems such as adjacent tooth mobility, periodontal destruction, and even esthetic concerns.
Figure 1: Clinical intra-oral presentation of the erupted peripheral compound odontoma