Compound odontoma - morphology, clinical findings and treatment. Case report

Compound odontomas are benign tumors, composed of odontogenic tissue that has an orderly pattern. These are formed of unilocular conglomerate of multiple calcified structures, some resembling to mini-teeth. A case of a 9-year-old female patient with compound odontoma is reported, highlighting aspects of odontoma's morphology, clinical findings and treatment. The tumor, found in the anterior maxilla, included multiple calcified structures, some of them resembling to mini-teeth (the biggest were about 5 mm), arranged in a conglomerate. The mini-teeth presented a crown and root, different dental tissues, open apices (the root was incompletely formed), and root canal which was evidenced by usage of Kerr K-file needle No. 8. Their surface presented many irregularities. Odontoma associated impaction of maxillary central incisor, and eruption disturbances and malposition of adjacent teeth. In order to minimize side effects, especially when odontoma is localized in an area with great impact on facial esthetics, early diagnosis and proper treatment are of great importance.