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