Multiple Extensive Complex Odontomas of the Jaws

Abstract

Odontomas are odontogenic tumors occurring in the oral cavity. They are composed of dental tissues namely enamel, dentin, cementum and pulp and are mostly discovered on routine radiographic examination owing to their benign and asymptomatic nature. Not many cases of odontomas erupting into the oral cavity are reported. An extensive survey of English literature revealed ten cases of erupted compound odontomas, and the present paper reports a case of a multiple symptomatic erupted complex odontomas of unusually large size involving both the jaws and the maxillary sinus in a 13-year-old male patient. Clinical and radiological examination using conventional and advanced diagnostic imaging with CT revealed an abnormally large radio-opaque mass, the density of which resembled enamel/bone occupying both the jaws and maxillary sinuses bilaterally. Diagnosis of odontoma was made which was confirmed histopathologically. Complete excision of the lesion with lining involving whole of maxillary sinus bilaterally and from the mandibular anterior region was done. Post operative period was uneventful with no evidence of recurrence.