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.