Lateral Incisor Teeth Research Articles

Treatment of Dento-alveolar Traumatic Injuries in a Child with Autism Spectrum Disorder (ASD)

This case report details the multidisciplinary management and follow-up of a 9-year-old boy diagnosed with autism spectrum disorder (ASD). He presented with severe intrusion injuries after a fall to his permanent maxillary central and lateral incisor teeth. The patient was initially seen in the emergency department by the maxillofacial team. Owing to the complexity of the dento-alveolar injury, it was felt that a multidisciplinary approach would improve patient outcomes. In theatre, both maxillofacial and paediatric dental teams managed the acute trauma. The paediatric dental team continued to review and follow-up with the child. A multidisciplinary team is ideal for managing paediatric patients with severe dental trauma and complex behavioural needs. This approach ensures the best care for patients and favourable outcomes. CPD/Clinical Relevance: Multidisciplinary management is important in paediatric dento-alveolar trauma.

Effect of Surgical Timing to Dental Health in Secondary Alveolar Bone Grafting: Three-Dimensional Outcomes.

There are various opinions on the optimal timing for performing secondary alveolar bone grafting (SABG). This study compared dental health and 3-dimensional outcomes according to the timing of SABG surgery. A retrospective chart review was performed in patients who underwent SABG between January 1996 and October 2020. Patients were divided into early SABG (6-8y old) and traditional SABG (9-13y old) groups. The final dental survival of the lateral incisor and canine teeth, survival of the bone graft, and maxillary growth were analyzed using plain radiographs and computed tomography with a 3-dimensional volumetric analysis tool. Thirty-six patients were divided into an early group (15 patients) and a traditional group (21 patients). Five patients had bilateral cleft lip, and 26 patients had unilateral cleft lip and palate; therefore, 36 alveolar clefts were analyzed in this study. Lateral incisor survival was significantly greater in the early group than in the traditional group (60% vs. 23.5%; P<0.05). Compared with that in the traditional group, graft success in the early group was greater (80% vs. 57.1%; P<0.05). Three-dimensional volumetric analysis revealed superior bone graft efficiency in the early group compared with the traditional group (55.2 vs. 38.5%; P<0.05). There was no significant difference in maxillary growth between the 2 groups. In our study, superior dental and clinical outcomes were observed in the early SABG group without any long-term complications or maxillary retrusion. Our institution cautiously indicated that SABG could be performed at an age earlier than the existing SABG performed after 9 years old.

Quantitative statistical evaluation of maxillary and mandibular incisor root canal morphology in Saudi patients

Abstract Introduction: Clinical practice demands understanding the complexity of the root canal system to achieve desired treatment goals. The statistically detailed morphology of the tooth and root canal morphology is very important to know. Therefore, the present study aims to investigate the statistical analysis of root canal morphology and morphological variations of maxillary and mandibular incisor teeth using cone-beam computed tomography (CBCT) in Saudi patients attending King Saud University Dental Hospital. Materials and Methods: CBCT images of 480 patients were selected. Number of roots and root canal configuration were identified and categorized according to Vertucci’s classification. Tooth length, distance from cementoenamel junction (CEJ) to the area of canal division, and width of the canal at the area of division were also evaluated. Bilateral symmetry and association between gender and age with the different variables were investigated. Data were analyzed using Chi-square, multiple linear regression, and McNemar’s tests. Results: A total of 3412 teeth were evaluated. All maxillary teeth had one root with Type I canal configuration. For mandibular teeth, all exhibited one root with the majority having Type I canal configuration in central (71.2%) and lateral (75%) incisor teeth. There was a statistically significant association between number of canals and age in mandibular incisor teeth observed only in females (P &lt; 0.001), while no association was observed between canal configuration and gender (P = 0.900 and P = 0.721, respectively). Multiple regression analyses showed that age and gender significantly explain the difference of the variance in tooth length (P &lt; 0.001). Moreover, bilateral symmetry was observed in 98.1% of mandibular central and 97.6% of lateral incisor teeth with no statistically significant association (P = 1 and P = 0.058, respectively). Conclusion: All maxillary and most mandibular incisor teeth present with one root and Type I canal configuration. In general, males have longer teeth than females, with a significant decrease in length with each year increase in age. Mandibular lateral incisor teeth exhibited the highest mean distance from CEJ to point of canal separation and highest mean width in the area of canal division.

Topography landmarks of the infraorbital, mandibular and mentual foramens of Saimiri collinsi (Osgood, 1916) for anesthetic access and blocks.

Due to events related to the urbanization process, specimens of Saimiri collinsi are often referred to veterinarians specializing in the treatment of wild animals. With these professionals and the oral health of this species in mind, we evaluated the skull and the exact location of the infraorbital, mentual and mandibular foramens, with the aim of supporting the anesthetic block for dental procedures in Saimiri collinsi. The infraorbital foramen was located in the maxillary bone and was arranged with one on each side, except in one individual, with a pair in each antimer. The mentual foramen was located in the diastema between the canine tooth and the lateral incisor. The mandibular foramen was located medially on the ramus of the mandible, close to the mandibular incisure. The distances between the foramina and the main reference points, were greater in females than in males (p < 0.05). For access purposes, in the foramens investigated we suggest using a Gingival Needle 30G 21mm Short, positioned externally at 15º to the maxillary bone to access the infraorbital foramen. Externally, perpendicular to the chin, in the diastema between the lower lateral incisor tooth and the canine tooth, to approach the mentual foramen, and ventral to the edge of the mandibular body, at a 90º angle, to access the mandibular foramen.

Conservative interdisciplinary management for a congenitally missing maxillary lateral incisor in an adolescent patient

AbstractA congenitally missing lateral incisor tooth is commonly associated with both short and long‐term clinical dilemmas, particularly for a growing patient. A unilaterally missing maxillary lateral incisor tooth creates a significant dental asymmetry in the critical aesthetic zone of the smile and potentially increases the difficulty of any subsequent orthodontic and restorative treatment. Carefully planned interdisciplinary management is required to address the challenges of anterior dental asymmetry, unilateral orthodontic space closure and to alleviate the concerns that accompany restorative implant placement in the anterior maxilla. The use of skeletal temporary anchorage devices has increased the predictability of orthodontic space closure, particularly for missing maxillary lateral incisor cases which were previously considered to be unsuitable.

Regenerative Endodontic Procedures in Immature Teeth Affected by Regional Odontodysplasia

IntroductionRegional odontodysplasia (ROD) is a rare developmental disorder characterized by hypo-mineralization and hypoplasia of enamel and dentin. Symptoms include poorly developed tooth buds, delayed eruption of permanent teeth in affected quadrants, and ghost teeth. The affected teeth often become necrotic due to abnormal enamel and dentin development, making them susceptible to caries and infection. The aim of this case report is to describe the treatment of ROD through pulp revascularization. Case reportA 13-year-old girl was referred for endodontic treatment. The mandibular left incisors and first premolar, which were affected by regional odontodysplasia, lost their vitality because of the impaired structure of the enamel. Due to the teeth's early developmental stage, a regenerative endodontic treatment was attempted. All 3 teeth were treated using the same protocol following the AAE guidelines. After 4 weeks, treatment of the premolar was completed, whereas the incisor teeth remained symptomatic and were and therefore, intracanal dressing with calcium hydroxide was repeated and left in place for 5 months. Finally, the regenerative procedure was completed, and the crowns were restored. The patient was scheduled for follow-up examinations after 6 months, and then yearly for the next 3 years. After 1 year, the periapical lesion around the central incisor and premolar had resolved, the lesion around the apex of the lateral incisor was healing, and the roots had continued to develop. After 3 years, complete healing and pulp canal obliteration were observed in the central incisor and in the premolar. However, the root of the lateral incisor tooth was split, and it was recommended to extract this tooth. ConclusionThe positive outcomes of regenerative endodontics in the central incisor and premolar suggest that revascularization of the pulp may be optional for the treatment of immature necrotic teeth affected by developmental disorders, such as ROD, amelogenesis imperfecta, or dentinogenesis imperfecta.

Awareness Dental Specialists about Different Treatment Modalities to Replace Congenitally Missing Lateral Incisors

Aims. The purpose of this study is to ascertain the dentists' and dental experts' knowledge of orthodontic closure vs. replacement as treatment options for congenitally missing lateral incisors. Methods. A cross-sectional study involving 185 dentists from several areas was carried out between September and October of 2023. A set of twenty-four multiple-choice questions was developed. Microsoft Excel 2010 was used for data collection, while SPSS version 26 was used for analysis utilising descriptive statistics and Chi-square tests. Results. A study of 185 questionnaires found that the majority of participants were general practitioners, with 56.6% working in private and government-funded clinics. Most participants exhibited an elevated incidence of lateral incisor tooth absence, a trend frequently identified through routine diagnostic procedures. A dentist with over ten years of experience identified a growing occurrence of lateral incisor tooth absence, calling for a specialised treatment approach. Participants generally preferred dental implants over orthodontics, fixed prostheses, and removable prostheses. Most general practitioners, oral surgeons, prosthodontists, and orthodontists preferred implant replacement for long-term aesthetic and functional results. The study found significantly those general practitioners and oral surgeons mostly stay updated on missing lateral incisor treatment through continuing education courses, while orthodontists and prosthodontists prefer reading professional journals. Conclusion. It is evident that the prevalence of tooth agenesis has increased, leading to a heightened demand for specialised dental treatment. Management of this anomaly requires comprehensive planning, considering self-consciousness, aesthetics, and malocclusion. The study emphasises the need for a multidisciplinary approach in the treatment of missing lateral incisors to ensure optimal outcomes.

An analysis of maxillary anterior teeth dimensions for the existence of golden proportion in the representative North Indian population.

Esthetic appearance of the face is a major concern in self-image among the majority of the population. The dimensions, anatomy, and arrangement of maxillary anterior are the key factors in the esthetic appearance of the face. The present study aimed to measure the mesiodistal dimensions of maxillary anterior teeth and analyzing the golden proportion in the representative North Indian population. Subjects were seated in the upright position in a dental clinical chair. A digital Vernier caliper was used to record the mesiodistal dimensions of central incisors (CIs), lateral incisor (LI), and canine (C) teeth in maximum smile position. A total of three sets of recordings were made by a single observer to avoid the measurement bias of both left and right sides of teeth. Digital images were also captured. Obtained measurements were used for the calculation of ratios and statistical analysis was done. The prevalence of golden ratio between right CI/LI was observed in 3.1% males and 3.2% females. The calculated median ratio was 1.2 for males and 1.3 for females which differs significantly (P > 0.05) from the golden ratio. The divine proportion between visible portion of right C/LI was seen in 39.5% males and 32.3% females with calculated median value for males being 0.6 and that for females was 0.7. The prevalence of golden proportion between the CI/LI in esthetically pleasing smiles was too small (mean-3.9 in males and 2.75 in females) while the golden ratio of 0.6 was found in the majority of the population irrespective of the gender.

Trajtimi jo-kirurgjikal me mineral treoksid agregat i incizivit lateral maksillar me apeks të hapur në një seancë

Although dental trauma is difficult to manage by general dental practices, it is important to follow the appropriate steps to achieve optimal results. This case report describes the non-surgical management of a tooth with an open apex and necrotic pulp using MTA and CWC (continuous wave compaction) to achieve endodontic success. Although it is a controversial technique, if the right conditions are provided, the creation of an artificial barrier continues to preserve an adequately functional and healthy tooth in the arch while avoiding extensive surgical and prosthet- ic procedures to replace a potentially compressed tooth. This case report highlights the beneficial effects of MTA, which are very good in the field of apexification or even regenerative dentistry as a whole. The 29-year-old man presents post-traumatic necrosis of the maxillary lateral incisor (tooth 12) which has been closed in the apical part with MTA, artificial barriers have been created, achieving the disinfection of the root canal, the remission of apical periodontitis, and where after 7 months of follow-up we have a lot of progress. The importance of using biocompatible materials such as MTA is emphasized, which in this case resulted in satisfactory results. This report reviews the management of a lateral incisor with open apex and necrotic pulp with apical plug with the aid of MTA and CWC achieving a successful apical and canalicular system seal.

Restorative dentistry clinical decision-making for hypodontia: peg and missing lateral incisor teeth

Peg-shaped and missing lateral incisor teeth are common features for patients affected by hypodontia. While improvements in dental appearance may be a strong motivating factor for these patients, providing dental treatment to improve the clinical condition and achieve an acceptable and stable outcome can be complex and lengthy.For patients affected by hypodontia, discussion and consideration of various approaches to their individual treatment are best achieved in a multidisciplinary team environment. This allows debate of options and joint agreement between at least orthodontic and restorative dentistry specialist colleagues, based largely on clinical factors, towards a treatment plan that is acceptable to the patient. As most patients with this lateral incisor form of hypodontia are initially treated as teenagers and young adults, there is also an understanding that treatment outcomes will have lifelong maintenance and resource implications to consider.This paper identifies and discusses the key clinical features that influence the treatment planning process for a patient with either missing or peg lateral incisor teeth. These will often involve consideration of whether to open or close the lateral incisor spaces and whether to restore or replace a peg lateral incisor tooth. The process should be patient-centred, evidence-based, and aim to minimise the lifelong treatment burden, retaining options for future maintenance and retreatment.

The dental technician as a member of the hypodontia multidisciplinary team, with practical considerations for anterior restoration design

Most patients seeking treatment for hypodontia will require prosthetic replacement of their missing teeth. This will be in the form of dentures, bridges and implant restorations. As these are created by one or more dental technicians who supports the clinical team, a close working relationship between these colleagues is likely to improve the quality of treatment outcome. This interaction will usually occur towards the end of the patient's treatment process, when definitive restorations are prescribed. However, appropriately trained and experienced dental technicians should be involved throughout the patient's treatment process as an integral part of the multidisciplinary team approach to effectively manage these patients.This paper describes the contribution of dental technicians to patient care with particular focus on communication between the restorative dentistry clinical team and the dental technician to improve the quality of anterior restorations. As missing maxillary lateral incisor teeth are a common presentation for this patient group, further technical detail relating to planning resin-bonded bridges for replacement of these teeth is included.

Successful non-surgical endodontic management of type III dens invaginatus by using cone-beam computed tomography: a case report

Dens invaginatus (DI) is a rare malformation of a tooth caused by the invagination of tooth crown before biological mineralization occurs. In DI type III invagination extends beyond the cementum-enamel junction, with the second foramen extending into the periapical tissues or into the periapical area. DI type III may pose real challenges for the clinician, especially when endodontic treatment is required. Objective: The present case report describes the successful non-surgical endodontic management of a tooth with DI type III with the aid of cone-beam computed tomography (CBCT). Case report: A 20-year-old male patient was referred for endodontic evaluation and treatment of the left maxillary lateral incisor (tooth #22), which presented a darker and unusual crown shape. Periapical radiography and CBCT scans revealed the presence of a type III DI, and a larger periapical lesion associated with external root resorption and discontinuous buccal cortical plate Results: The diagnosis of Oehlers type III DI with asymptomatic apical periodontitis was established, and non-surgical endodontic treatment was initiated. After 5 months, a decrease in the periapical lesion and arrest of external resorption was detected. The root canals were then filled, and the tooth restored. At the 3-years follow-up, clinical and imaging assessments revealed successful outcome of the treatment. Conclusion: CBCT is an inestimable tool for non-surgical endodontic management of teeth with complex internal anatomy, such as DI type III with associated large periapical lesion.

Comparative Evaluation of the Accuracy of Gingival Thickness Measurement by Clinical Evaluation and Intraoral Ultrasonography.

This study aimed to investigate the accuracy of gingival thickness measurement by two methods of clinical evaluation and intraoral ultrasonography. The gingival thickness was measured in the midbuccal area of the right maxillary lateral incisor and first molar teeth in 30 individuals. For clinical measurement, a #15 K-file with rubber stops was vertically inserted 2 mm apical to the gingival margin and the length of the file in the tissue was measured using a digital caliper. Ultrasonographic measurement was performed using an intraoral probe on the gingival surface in the midbuccal area, at the entry point of the file. Statistical analysis was performed by paired t-test, correlation coefficient, and receiver operating characteristic (ROC) curve (α = 0.05). In the anterior region, the mean gingival thicknesses using ultrasonography (1.517 ± 0.293 mm) and clinical evaluation (1.610 ± 0.272 mm) were not significantly different (p = 0.434). In the posterior region, the mean gingival thicknesses were significantly different between ultrasonography (1.372 ± 0.442 mm) and clinical evaluation (1.626 ± 0.310 mm) (p = 0.006). The area under ROC curve values for ultrasonographic measurements in the anterior and posterior regions were 0.681 and 0.597, respectively. The use of ultrasonography with an intraoral probe has acceptable accuracy for the determination of gingival thickness, especially for the anterior regions.

Morphometric Comparison of the Maxillary Alveolar Ridge Profile at Lateral Incisor and Premolar Tooth Regions Using Cone Beam Computed Tomography: A Cross-sectional Comparative Study

Comprehensive pre-surgical evaluation, proper radiographic examination and careful surgical intervention are necessary for long-term success of implants. This study highlights the importance of assessment of morphometric dimensions of alveolar ridge profile at the maxillary lateral incisor and premolar using cone beam computed tomography (CBCT) thereby reducing the complications during the clinical procedures like implant placement, mini-implants in orthodontic anchorage, para-endodontic surgeries.&#x0D; A total of 58 CBCT scans were included in the study and divided into two groups. (group-A, 20-35 years; group-B, 36-50 years). The buccal and palatal thickness of the maxillary alveolar cortical plates were measured at the crest, mid root, mid alveolar housing area, and the apex of the root.&#x0D; In the sample of 58 CBCTs, the cortical plate thickness at the crest of the premolars has a significant increased thickness when compared to the lateral incisor in both the age groups. The thickness of mid alveolar housing point of premolars has significant increased thickness than the lateral incisors of age group-B.&#x0D; In this study, the recommendations based on the results were beneficial in providing information regarding the buccal and palatal bone thickness at the maxillary lateral incisor and premolar tooth regions in 21-35 years and 36-50 years age groups thereby preventing complications that occur while undergoing dental procedures.

Erupted compound odontoma in patient with epileptic seizures - a case report

Erupted odontomas are rarely found in the oral cavity. To the best of our knowledge there are only a few cases reported of compound erupted odontoma. Also, different pathological conditions have been related to odontoma’s aetiology. This article describes a case report with review of a 17-year-old girl in investigation of Dravet syndrome, psychogenic nonepileptic seizures and psychotic disorder in whom it was identified an enamel-like tissue exposed in gingiva. The size of the lesion was around 2 mm and it was located 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 and without the need for a flap. Four small tooth-like structures were removed, and the specimens were sent for histopathological analysis, confirming the hypothesis of compound odontoma. The procedure went without complications nor need of patient sedation. Twenty days after the surgery, there was satisfactory healing of the operated region’s tissue. Odontoma’s aetiology is not very well established yet, so it is unknown whether eventual epileptic seizures that occur during the period of dental formation and thus increase patient risk for accidental dental injuries could favor the development of these lesions.

Classification of Lateral Incisor Teeth for Aesthetic Dentistry Using Intelligent Techniques

The six upper front teeth determine the appearance of Aesthetic dentistry. The study will define lateral incisors based on their lower angles as round, square, or square/round. LORIN molds to shape teeth were utilized. It extracted 144 teeth images from him and used 36 photographs of denture lateral incisors. The aim of the proposed work is to develop a model capable of determining the most likely form the teeth will take. Intelligent systems first distinguish denture picture edges and separate gums from teeth. After early processing teeth were extracted. and use morphological methods performed to remove the hump, and The Savitzky-Golay filter then softens the corners. Images were tested to determine their type. Fuzzy logic determines the filter's mask size by finding the most matching teeth. we were cropped 50%, 66%, and 75% of the teeth and compared the rest lower parts of the teeth. Then, each type of tooth is matched using Pearson's correlation coefficient and LORIN-certified dental molds. When evaluating pictures of lateral incisor teeth, researchers found 36.1% accuracy when using the entire tooth, and 66.1% accuracy when cropping 75% of the tooth. The best match and discrimination of the lateral incisor were at cropping 50% and 66%, his accuracy was 86.1%. This study's results were compared to previous research on this subject, demonstrating their reliability and precision.

Non-Surgical Treatment of Class II Division 1 Malocclusion in an Adult Patient with a Missing Lower Lateral Incisor Tooth: A Case Report

Class II Division 1 malocclusion is clinically more widespread than any other form of malocclusion and can be managed in a variety of ways, taking into account variables such as patient compliance, age, and anteroposterior disparity. Orthodontic camouflage treatment, aimed at masking the underlying skeletal discrepancy, is an acceptable option for most patients. This typically involves the extraction of two maxillary premolars in cases without mandibular arch crowding, or the extraction of two maxillary and two mandibular premolar teeth when crowding is present. The present case report aimed to discuss the successful treatment of a unique case involving a 19-year-old adult female patient with Class II Division 1 malocclusion, a missing mandibular left lateral incisor, and an overjet of 7 mm. Since the patient declined surgical and prosthetic treatment, an alternative, novel, and unorthodox method of camouflage treatment was employed, which involved the extraction of maxillary first premolars combined with symmetrical incisor space closure. The achieved treatment outcomes included a functionally and aesthetically acceptable occlusion, reduced overjet, and an improved soft tissue profile.

The Abrasive and Remineralising Efficacy of Coturnix Eggshell

The objective of this research was to determine the abrasive and remineralising efficacy of quail eggshell (Coturnix coturnix) incorporated into a new experimental toothpaste. An experimental study was designed to compare the surface microhardness of the dental enamel of bovine lateral incisors exposed to different toothpastes. In relation to microroughness (abrasive efficiency), the unit of analysis was each specimen with 16 polymethylmethacrylate (PMMA) blocks. For the remineralisation variable, the unit of analysis was each bovine lateral incisor tooth. A sample size of 16 was determined for each group. The unpolished PMMA specimens presented the highest mean surface microroughness with a mean of 4.60 ± 1.47 µm, whilst the quail paste, universal polishing paste, control paste, and Diamond Excel Paste showed a mean of 1.16 ± 0.40 µm, 0.63 ± 024 µm, 0.45 ± 0.22 µm, and 0.43 ± 0.17 µm, respectively, presenting significant differences (P < .001). When comparing the surface microhardness of bovine lateral incisor dental enamel exposed to different toothpastes, the universal polishing paste presented the lowest microhardness, with 192.43 ± 56.21 kg/mm2, whilst the quail paste presented the greatest remineralising effect, with the highest average of 272 ± 21.18 kg/mm2, followed by the control paste with 244 ± 41.43 kg/mm2 and the Diamond Excel Paste with 228.72 ± 43.72 kg/mm2. These differences were statistically significant (P < .001). Significant differences were found in the surface abrasive efficiency (microroughness) of PMMA subjected to different toothpastes. The quail toothpaste presented statistically significant results compared to the control pastes, the Diamond Excel Paste, and the universal polishing paste.

Objective dimension of tooth color in forensic age estimation: An observational study

Teeth are an integral part of facial aesthetics involved in complex social, cultural &amp; psychological interaction. Of all, in latest, tooth color measurement has attracted attention in the field of dentistry for assessing age.To assess the correlation between the enamel color and chronological age and to evaluate the age of an individual from enamel color.This was a cross sectional study that included a total of 200 individuals attending the outpatient Department of Oral Medicine &amp; Radiology.The individuals were divided into five groups based on age with 40 in each group. Inclusion criteria comprised of healthy maxillary central, lateral incisor, canine, premolar and molar teeth that were free from cavities, fracture, endodontically treated teeth and those free from stain were selected. The tooth shade was recorded using Vitapan classical shade guide. Firstly, value of the color was assessed followed by hue and then chroma.Numerical scrutiny was conducted using Statistical Package for Social Sciences. Comparison and correlation of the definite variables between the groups was done by Pearson Chi‑square test.For central and lateral incisor common shade was B2 and for canine teeth all the groups had A3 shade and results obtained was statistically significant except for the premolars with B2 was the most common shade for groups I, II and IV, but the B1 (yellowish hue) shade was common in group 2 and C2 shade was common in group V with statistically significant results. For molars B2 was the most common shade for groups I – IV with C2 shade was common in group V with statistically significant results.Natural tooth color can be used as an effective means of age estimation.

ERUPTED COMPOUND ODONTOMA IN PATIENT WITH SEIZURES: A CASE REPORT

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.