ERUPTED COMPOUND ODONTOMA IN PATIENT WITH SEIZURES: A CASE REPORT

Abstract

Erupted odontomas are rare in the oral cavity. During the intraoral examination of a 17-year-old girl in investigation of Dravet syndrome, psychogenic nonepileptic seizures, and psychotic disorder, an enamel-like tissue exposed in gingiva was identified. The lesion size was around 2 mm, localized between the right permanent mandibular lateral incisor and canine teeth. Periapical radiography revealed a radiopaque image of irregular tooth-like structures, suggesting the presence of an erupted compound odontoma. The lesion was surgically removed under infiltrative anesthesia, without the need for a flap. Four small tooth-like structures were removed and the specimens were sent for histopathologic analysis, confirming the hypothesis of compound odontoma. The procedure was achieved without complications or need of patient sedation. Twenty days after the surgery, there was satisfactory healing of tissue in the operated region. Erupted odontoma are rare. The patient follows her treatments with the team. Erupted odontomas are rare in the oral cavity. During the intraoral examination of a 17-year-old girl in investigation of Dravet syndrome, psychogenic nonepileptic seizures, and psychotic disorder, an enamel-like tissue exposed in gingiva was identified. The lesion size was around 2 mm, localized between the right permanent mandibular lateral incisor and canine teeth. Periapical radiography revealed a radiopaque image of irregular tooth-like structures, suggesting the presence of an erupted compound odontoma. The lesion was surgically removed under infiltrative anesthesia, without the need for a flap. Four small tooth-like structures were removed and the specimens were sent for histopathologic analysis, confirming the hypothesis of compound odontoma. The procedure was achieved without complications or need of patient sedation. Twenty days after the surgery, there was satisfactory healing of tissue in the operated region. Erupted odontoma are rare. The patient follows her treatments with the team.