Abstract:
The World Health Organization (WHO) classifies odontomas as odontogenic
tumors, consisting of odontogenic epithelium and ectomesenchyme. They
result from developmental abnormalities, and therefore do not constitute
authentic tumors. It is a local malformation that has no growth
autonomy. They are rarely symptomatic and are usually discovered
accidentally during the realization of a radiographic examination.
There are two variants of odontomas: complex and compound. Complex
odontomas are made of a mass consisting of an anarchic assembly of
mineralized tissue (enamel, dentin,cementum) and dental pulp; while
compound odontomas are consisting of a set of small rudimentary teeth,
assembling in clusters. They rarely show the features of both types
together. The aim of this work is to report a rare presentation of an
odontoma in a 24-year-old male patient which present the characteristics
of both complex and compound variants. Surgical excision of the lesion
was performed. Anatomopathological examination confirmed the diagnosis.
Clinical and radiological survey does not show any recurrence.