CASE REPORT:
A 24-year-old male patient presented to the Department of oral medicine
oral surgery of the university dental clinic of Monastir,Tunisia with
the chief complaint of pain in mandibular right wisdom teeth. Patient’s
medical and family histories were non-contributory. The clinical
examination showed, in addition to insufficient hygiene, a disorder of
the mandibular anterior teeth, the right mandibular wisdom tooth was
decayed. A routine panoramic radiograph has showed a large radiopaque
lesion in the right posterior mandible delimited by a radiolucent halo
and extended from the first molar to the second molar region. The lesion
was composed by two parts. The first one consisted of an assemblage of
multiple odontoids and the second one composed of an anarchic radiopaque
image. The Cone Beam Computed Tomography revealed a lesion involving the
right body of mandible and shifted more on the buccal side. There was an
expansion and thinning of the buccal cortical of the mandible (figure
1). According to these findings, provisional diagnosis of odontoma is
considered. The surgical treatment carried was extraction of the right
wisdom teeth and surgical excision of the lesion by curettage(figure 2)
. The excised specimen was fixed and sent for anatomopathological study.
Based on the macroscopic clinical image of the resected tissue and
histopathological examination; the diagnosis of compound-complex
odontoma has been confirmed. 6 months follow up showed no relevant
recurrence.