Abstract
Introduction: Odontomes are most common type of odontogenic tumors. They are generally asymptomatic and discovered on routine radiographic examinations. Morphological classification of odontomes can be doneas complex and compound odontomes. Here we document a case of a 15 year old boy who attended our dental department with apparent malocclusions. A panoramic radiograph revealed presence of multiple radio opaque masses in maxillary as well as mandibular arches. These structures were seen associated with impacted permanent teeth. The histopathological examination confirmed the diagnosis of them as being complex odontomes. Keywords: Odontogenic tumor, Odontome, Complex, Compound.
Highlights
Odontomes are most common type of odontogenic tumors
In 1937 it was Sprawson who did a thorough review on odontomes, where he mentioned that Paul in 1867 used the term “odontoma” to describe the set of odontogenic tumors whose etiology was due to the overgrowth of transitory or complete odontogenic tissue.[1]
Odontomes are classified into two groups as compound and complex odontoma
Summary
In 1937 it was Sprawson who did a thorough review on odontomes, where he mentioned that Paul in 1867 used the term “odontoma” to describe the set of odontogenic tumors whose etiology was due to the overgrowth of transitory or complete odontogenic tissue.[1]. Odontomes are generally associated with pathologic changes such as malformations, impactions, delayed eruptions, malpositioning, cyst formation or displacement and resorption of adjacent teeth. They are seen associated with absence of one or more teeth.[3]. We report a unique case of multiple odontomes, involving both maxillary and mandibular arches causing impaction of several permanent teeth and retention of deciduous teeth.[4]. To confirm the eruptive status/root formation a panoramic radiograph was taken which revealed multiple radiopaque masses in the maxillary and mandibular anterior region with multiple impacted teeth (maxilla 21, 23 and mandible 32, 43) (Fig. 1). Correlating with the clinical and radiographic picture, the histological description of haphazard deposition of dental tissue was most consistent with the diagnosis of complex composite odontome
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