Large complex odontomas associated with impacted mandibular second and third molars: a case report.

Area of Science:

• Oral and Maxillofacial Surgery
• Dental Oncology
• Pathology of Odontogenic Tumors

Background:

• Odontomas are the most common odontogenic tumors, comprising enamel, dentin, and cementum.
• Classified into compound (anterior maxilla, tooth-like) and complex (posterior mandible, irregular masses) types.
• Large odontomas can cause jaw expansion, asymmetry, and delayed tooth eruption, requiring surgical intervention.

Purpose of the Study:

• To present a case of a large mandibular complex odontoma.
• To evaluate the efficacy of an intraoral surgical approach for its removal.
• To assess short-term outcomes and recurrence potential.

Main Methods:

• A 21-year-old Iranian woman with a large mandibular complex odontoma was treated.
• Surgical excision was performed using an intraoral approach.
• The patient was monitored for healing and recurrence over 4 months.

Main Results:

• The large mandibular complex odontoma was successfully removed via an intraoral approach.
• No pathological fracture or need for fixation devices was encountered.
• Uneventful healing and no signs of recurrence were observed at the 4-month follow-up.

Conclusions:

• Large mandibular odontomas can be effectively managed with an intraoral surgical technique.
• This approach obviates the need for fixation devices, simplifying treatment.
• Favorable short-term outcomes suggest the intraoral approach is a viable option for such cases.