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An uncommon presentation of an erupted compound odontoma in the anterior maxilla: A case report
Narges Mirzania1, Mehdi Hosseinzadeh1, Elaheh Rahimipour1
1Department of Oral and Maxillofacial Radiology, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract:
Odontomas are the most common benign odontogenic tumors, classified into compound (tooth-like structures) and complex (amorphous dental tissue) subtypes. While typically asymptomatic, erupting odontomas are rare and can cause diagnostic and management challenges. This case involves a 15-year-old male with an erupted compound odontoma in the maxillary anterior region, presenting primarily with aesthetic concerns. Clinical and CBCT evaluations confirmed the diagnosis, and surgical excision followed by histopathological analysis revealed the characteristic features of a compound odontoma. The rarity of erupting odontomas underscores the importance of thorough diagnostic evaluations, including CBCT imaging, which aids in distinguishing them from other odontogenic lesions. A multidisciplinary approach involving oral surgery and orthodontics is essential for optimal functional and aesthetic outcomes. Although the exact etiology remains unclear, early diagnosis and intervention are crucial to preventing complications. This case highlights the need for increased awareness and further research into the mechanisms underlying this rare phenomenon.
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