Compound Composite Odontoma Research Articles

Odontoma and other congenital dental anomalies: Implications for forensic identification.

Forensic odontology plays a crucial role in establishing the identity in mass disasters and criminal cases with high accuracy. Dental anomalies and features help in such situations. Congenital and developmental dental anomalies can be easily documented to establish distinctive and individualistic characteristics of an individual. The location, number of teeth involved, and the type of anomaly vary between individuals. Similarly, dental malformations also assist greatly in the identification process. Many types of dental anomalies have been studied in the past for their individualistic characteristics in forensic examinations. One such dental anomaly is odontoma, which is a benign odontogenic malformation. This malformation may also help in the identification of the deceased, when recorded and examined accurately. An odontome is a malformed teeth-like structures consisting of enamel, dentin, and pulpal tissue, formed due to the growth of completely differentiated epithelial and mesenchymal cells. If antemortem (AM) dental records incorporate information regarding odontomes and other dental anomalies, including in radiographs, orthopantomograms or microradiographs, positive identification may be established by comparison of these records with postmortem (PM) records. In the present communication, a rare case of compound composite odontoma in the anterior mandible with multiple denticles has been discussed with a brief overview of congenital and developmental dental anomalies. The authors emphasize the importance of such rare dental anomalies and malformations which may be used for identifying the deceased in mass disasters and forensic identification.

Compound Composite Odontome Associated with Impacted Maxillary Permanent Lateral Incisor: A Case Report

Compound Composite Odontome Associated with Impacted Maxillary Permanent Lateral Incisor: A Case Report

Radiographic diagnosis and surgical management of compound composite odontome with supernumerary tooth and impacted central incisor – A rare case report

Odontomas are the most frequent hamartomatous developmental abnormality. The condition is frequently associated with one or more unerupted teeth and is often detected through the failure of teeth to erupt at the expected time. Although most cases are found impacted within the jaw, there are instances where odontomas have erupted into the oral cavity. Majority of the odontomas are asymptomatic nonetheless these anomalies can cause delayed eruption, impaction, or even result in retention of primary teeth. Odontomas are atypical calcified conglomeration of dental tissues such as enamel, dentin, pulp, and cementum and emerge from odontogenic epithelium thus, they are mixed odontogenic tumor. According to the literature, its origin can be local trauma, infection, or genetic mutations, however, the exact cause is unknown. This case report presents a compound composite odontome in a 25-year-old patient along with its related clinical and radiological manifestations and the surgical management and emphasis on the early diagnosis and treatment planning.

Looking through the keyhole: A case report of odontome with keyhole pattern in histopathology

Odontome is the most frequent mixed type of odontogenic tumor comprising 22% of all odontogenic tumors. They are divided into two types namely, compound and complex types on the basis of the differentiation and organization of the dental tissues. The diagnosis of odontome relies on the clinical and radiographic evaluation of the lesion. This article presents an unusual case of compound composite odontome with prominent keyhole pattern in maxilla of a 23-year-old male patient.

Compound Composite Odontoma diagnosed using Various Radiographic Examinations

Compound Composite Odontoma diagnosed using Various Radiographic Examinations

Non-Syndromic Multiple Odontomes

Clinical Image: A 10 year old male patient visited the department of oral medicine and radiology with a chief complaint of pain and swelling on right side of face (Figure 1). Patient gave history of swelling on right side of lower 1/3rd of face since 7-8 years with dull, intermittent pain which aggravates on taking food since 1 month. Patient had undergone radiographic investigations and biopsy on right side of face 15 days back. On extra oral examination, swelling on right side of lower 1/3rd of face extending anteroposteriorly from a straight line drawn from inner canthus of eye, posteriorly 1 cm beyond outer canthus of eye (Figure 2). Supero-inferiorly from a straight line drawn from commissure of lip to 1 cm beyond inferior border of mandible. Swelling is approximately 4 × 4 cm in size. Overlying skin has increase pigmentation with sinus opening, tender on palpation, bony hard. Right submandibular lymph node palpable, mobile and tender. On intra-oral examination, obliteration of vestibule from 44 to 47. Provisional diagnosis of chronic supparative osteomyelitis. OPG reveals dense, homogeneous radio-opaque mass on right side of body with surrounding radiolucent halo extending from 44 to 47. Supero-inferiorly from superior border of mandible to inferior border of mandible to inferior border of mandible with multiple tooth like structures at inferior border of mandible. There is thinning of inferior cortex of mandible with divergence of 43, 44, 47. CECT reveals a well define lobulated mass with few hypodense areas, measures approximately 37 × 36 × 29 mm. the mass is causing significant bi-cortical expansion of mandible (Figure 3). Radiographic diagnosis-odontomes. Excisional biopsy was performed and histopathologic diagnosis was compound composite odontome (Figure 4).

An Erupted Compound Composite Odontoma Associated with Supernumerary Tooth

An Erupted Compound Composite Odontoma Associated with Supernumerary Tooth

Compound Composite Odontome Associated with Over-Retained Primary Tooth and Displacement of Lateral Incisor-a Case Report

Odontomes are generally asymptomatic but occasionally signs and symptoms for their presence are retained primary teeth, impacted teeth, swelling and evidence of infection. They are diagnosed during routine radiographic examination. In this case we are reporting a 12- year-old girl with compound composite odontome with over retained primary lateral incisor and displaced permanent lateral incisor.

Super Odontoma – A Destructive Swarm Entity

Odontoma is a common benign odontogenic tumor seen mostly in permanent dentition. This case report presents the management of a 5-year-old child who had impacted primary maxillary canine associated with a compound composite odontome with multiple denticles – a rare entity. Odontomas are usually asymptomatic but can cause problems like disturbances in the eruption of teeth such as impaction or delayed eruption, retention of primary teeth or abnormalities in position of teeth such as tipping or displacement of adjacent teeth [1]. Panoramic radiography can be used in the detection of odontomas. But it cannot give enough information to management and treatment planning [2]. Cone Beam Computed Tomography is the best diagnostic imaging method currently available; it provides higher resolution for hard tissues, determines accurate location of retained teeth and their relationship to adjacent tissues and minimizes patient radiation exposure [3]. Conservative surgical excision of odontomas is the treatment of choice as these are well encapsulated and can be easily enucleated from surrounding bone and there is little possibility of recurrence. In the present case the unerupted primary maxillary canine was with the odontomas so surgical removal along with the odontomes was done. A 5-year-old boy came with the chief complaint of decayed teeth. On intraoral examination, there were multiple carious teeth and a missing primary maxillary right canine which was associated with slight swelling labially but asymptomatic. On palpation, it was bony hard in consistency. Panoramic radiograph showed numerous radiopaque masses adjacent to the roots of the first primary molar arranged in a flower pattern of 2 x 2cm in diameter [Table/Fig-1]. Based on the clinical and radiographic evaluation, the diagnosis of early childhood caries and impacted primary canine due to compound composite odontoma was made. A differential diagnosis of ameloblastic fibroodontoma and odontoameloblastoma was made. They show a great resemblance to common odontomas, especially in the radiographic examination. [Table/Fig-1]: Panoramic radiograph revealing numerous radiopaque masses adjacent to the roots of the first primary molar The enucleation of the entire lesion was planned under local anesthesia. A sulcular incision was placed buccally and a mucoperiosteal flap was raised from distal aspect of maxillary lateral incisor to mesial aspect of second primary molar. Bone was removed with a bur to expose the calcified mass [Table/Fig-2]. The mass was removed and followed by curettage of lining to remove any remnants. The tissue was sent for histopathological examination. The sharp bony margins were rounded and irrigated with povidone iodine. After adequate hemostasis suturing was done with 3 – 0 black silk sutures. The retrieved specimen revealed few tooth like structures and few were fused total of 25 with well differentiated dental tissues [Table/Fig-3]. The postoperative period was uneventful. [Table/Fig-2]: Surgical exposure of odontome [Table/Fig-3]: Multiple denticles (25)

Multiple Compound Composite Odontome with Unerupted Permanent Incisor

Multiple Compound Composite Odontome with Unerupted Permanent Incisor

"Compound composite odontoma associated with un-erupted permanent canine": A case report

Odontomas are benign odontogenic tumors appearing as small, solitary or multiple radio-opaque lesions on radiographic examinations. Among the two types of odontomas, compound odontomas are painless, with a more limited growth potential than complex odontomas. The majority of odontomas are asymptomatic and discovered incidentally; however, may be accompanied with pain and swelling as secondary complaints in some cases. These lesions, at times, may cause potential disturbances in the eruption of neighboring teeth, such as impaction, delayed eruption or retention of deciduous dentition, henceforth, conservative surgical excision is the treatment of choice. Here, a case of compound composite odontoma is reported, discussing the related clinical and radiological manifestations, the surgical approach performed, and histopathological features.

Compound composite odontoma and its management.

Odontomas are odontogenic benign tumors composed of dental tissue. Majority of these lesions are asymptomatic and are often detected on routine radiographs. They can be thought of as “tooth hamartomas" with the lesion consisting of various tooth components. They are divided histologically into complex odontomas and compound odontomas. This paper describes the case of a compound odontoma in a 13-year-old girl diagnosed due to the retention of the primary right mandibular second molar. A surgical excision was performed without disturbing the unerupted premolar. The results achieved indicate that early diagnosis of odontomas enables adoption of less complex treatment, a better prognosis, and displacement or devitalisation of adjacent tooth.

A Case Report of Compound Odontoma Associated with an Unerupted Maxillary Central Incisor

Odontomas generally appear as small, solitary or multiple radio-opaque lesions found on routine radiographic examinations. Traditionally, odontomas are the most common type of odontogenic tumor and they are generally asymptomatic. Occasionally, odontomas may cause disturbances in the eruption of teeth, such as impaction, delay eruption or retention of primary teeth. In general, odontomas occur more often in the permanent dentition. This is a case report of a compound composite odontoma in an 8-year-old boy, which has resulted in failure of eruption of the permanent upper right central incisor while the contra-lateral tooth had erupted.

Compound Composite Odontoma

Odontomas are the most common type of odontogenic tumors and generally they are asymptomatic. Frequently, it may interfere with the eruption of the teeth. This is a case report of a compound composite odontoma in a 10-year-old girl, which results in failure of eruption of the permanent upper right central incisor while the contralateral tooth had erupted. A calcified mass was seen in the radiograph and was provisionally diagnosed as odontoma following which the odontoma was enucleated. Routine follow-up was done for more than a year and no recurrence was seen. This case report indicates that early diagnosis and management ensures better prognosis.

Unerupted Maxillary Central Incisor Associated with Compound Composite Odontoma: A Case Report

ABSTRACT Odontoma is the most common type of benign odontogenic tumor, and often causes disturbances in the eruption of its associated tooth. This case report documents a twelve -year-old-child with a compound odontoma located in the anterior maxilla, which caused the impaction of the maxillary central incisor. Spontaneous eruption of the involved tooth occurred once the odontoma was surgically removed.

Case of Compound Composite Odontome: Diagnostic Criteria for Odontomas

ABSTRACT Odontomas behave more like developmental abnormalities (hamartomas) than true neoplasms. Odontomas are developmental anomalies resulting from the growth of completely differentiated epithelial and mesenchymal cells that give rise to ameloblast and odontoblast. Odontomas are classified as complex odontoma and compound odontomas. The purpose of the article is to enumerate the diagnostic criteria for odontomas. How to cite this article Tejasvi A, Babu B, Avinash CKA, Venkateswarlu M, Geetha P, Kinikar K, Afroze M. Case of Compound Composite Odontome: Diagnostic Criteria for Odontomas. Int J Exper Dent Sci 2012;1(1):19-22.

Compound composite odontome with mesiodens - A case report

Odontomas are considered to be developmental anomalies rather than true neoplasms. They have been termed compound composite odontomas when there is at least superficial anatomic similarity to normal teeth. A supernumerary tooth in the maxillary anterior region is termed a mesiodens. This case report presents an unusual case of occurrence of a compound composite odontome along with a mesiodens, causing impaction of permanent central incisor in a 14 year old boy. Both odontome and mesiodens were surgically removed along with the impacted central incisor.

Compound composite odontoma with unusual number of denticles – A rare entity

Compound odontoma is stated to be a hamartomatous lesion rather than a true odontogenic tumour. It has an unknown etiology and often suspected when there are retained deciduous teeth in children. Early detection and surgical enucleation of the tumour is recommended to prevent impaction of unerupted teeth. In this index case, multiple denticles or rudimentary teeth, numbering 37 were enucleated from the maxillary anterior region of a 17-year old male, which makes this case unusual. Evidence of concrescence, fusion and dilaceration were observed in the denticles enucleated, the size of which varied from 4mm to 12.5mm.

Compound composite odontome erupting into the oral cavity: A rare entity

Odontomas are the most common odontogenic tumors. They are usually asymptomatic and are often discovered during routine radiography. Eruption of an odontome into the oral cavity is rare. Odontomas are the most common odontogenic tumors. They are usually asymptomatic and are often discovered during routine radiography. Eruption of an odontome into the oral cavity is rare. We report an unusual case of erupting compound composite odontoma. we report an unusual case of erupting compound composite odontoma.

Compound composite odontome associated with an unerupted deciduous incisor - A rarity

Odontomes are considered to be hamartomatous malformation rather than true neoplasm and are generally asymptomatic. Here is a case presentation of compound composite odontome with impacted deciduous teeth in an 11-year-old girl. A calcified mass was revealed in the radiograph and the case was finally diagnosed to be compound composite odontome. The mass was surgically excised.