Navigating Compound Odontomas: A Case Study of Surgical Intervention and Full-Mouth Rehabilitation in a Pediatric...

Odontomas are the most prevalent odontogenic tumors, often classified as hamartomas due to their slow growth and non-aggressive nature. Typically asymptomatic, they can obstruct the eruption of adjacent teeth. While the exact causes of odontomas remain unclear, potential factors include local trauma, infection, growth pressure, and hereditary influences. Radiographically, they appear as well-defined radiopaque lesions surrounded by a radiolucent halo and are categorized into complex and compound types based on the arrangement of dental tissues. This case report aims to document the surgical removal of a compound odontoma in the lower right jaw of an 8-year-old girl, which obstructed the eruption of her lateral incisor, along with the subsequent full-mouth rehabilitation performed under general anesthesia. Diagnostic evaluations included oral and radiographic examinations such as orthopantomograms (OPG), periapical (PA), bitewing (BW), and computed tomography (CT) scans. The patient had no medical or family history of dental anomalies. This report highlights the management of a compound odontoma causing delayed eruption and impaction and demonstrates the effectiveness of full-mouth rehabilitation under general anesthesia in a pediatric setting. Early detection and removal of odontomas are crucial to preventing eruption issues and long-term complications, although recurrence may necessitate ongoing observation. The findings underscore the importance of early diagnosis and intervention in managing odontomas to mitigate adverse effects.