Abstract
Odontomas are benign tumours of odontogenic origin consisting of different dental tissues. Usually they are tooth size or smaller, but occasionally complex variety can exhibit considerable growth. They are usually asymptomatic and often are discovered during routine radiograph. Morphologically odontoma can be classified as complex when present as irregular masses containing different types of dental tissues, or as compound if there is superficial anatomic similarity to even rudimentary teeth known as denticles. We report a case of large complex odontoma that causes pain, infection and facial asymmetry.
 J Enam Med Col 2019; 9(1): 57-59
Highlights
Odontomas were first described by Paul Brocain in 1867
Odontomas are benign tumours of odontogenic origin consisting of different dental tissues
We report a case of large complex odontoma that causes pain, infection and facial asymmetry
Summary
Odontomas were first described by Paul Brocain in 1867. He used the term odontoma for all odontogenic tumours.[1]. A 25-year-old female patient came with the complaints of pain, swelling and discharging sinus in the left side of jaw for one month. She gave history of same problems about one year back. There was a hard swelling on left angle of the mandible extraorally which was tender on palpation. There was discharging sinus on left mandibular molar area. A panoramic radiograph was taken, which showed a well-circumscribed radio-opaque lesion surrounding an irregular radiolucent area on left body – angle of mandible. There was an impacted tooth on the base of the lesion at lower border. Surgical excision of the lesion with extraction of the impacted tooth was planned under general anaesthesia.
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