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National Journal of Maxillofacial Surgery
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Year : 2014  |  Volume : 5  |  Issue : 2  |  Page : 192-194

An unusual case of compound odontome associated with maxillary impacted central incisor

1 Department of Pedodontics and Preventive Dentistry, Career Post Graduate Institute of Dental and Medical Sciences, Lucknow, Uttar Pradesh, India
2 Department of Conservative Dentistry and Endodontics, Saraswati Dental College and Hospital, Dr. Ram Manohar Lohia Avadh University, Lucknow, Uttar Pradesh, India
3 Department of Oral Pathology and Microbiology, King George's Dental College, King George's Medical University, Lucknow, Uttar Pradesh, India

Correspondence Address:
Nadia Khan
Department of Pedodontics and Preventive Dentistry, Career Post Graduate Institute of Dental and Medical Sciences, Lucknow, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0975-5950.154834

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Odontomas are the most common type of odontogenic tumor occurring within the jaws and are frequently associated with the retained deciduous teeth interfering with the eruption of permanent teeth. Compound odontomas are usually diagnosed in the anterior portion of the jaws and resemble tooth-like structure. These are usually asymptomatic. Complex odontomas are normally diagnosed in the posterior part of the jaws and consist of a disorganized mass with no morphologic resemblance to a tooth. The present case report of a 16-year-old female is a typical case of compound odontoma in the maxillary anterior region associated with retained deciduous incisor, which also resulted in failure of eruption of the permanent maxillary right central incisor. An intraoral periapical radiograph revealed the presence of a radio-opaque tooth-like structure in the apical region of retained deciduous incisor and an impacted permanent right central incisor whose path of eruption was impeded by the structure. Treatment included the surgical removal of the lesion followed by orthodontic extrusion of the impacted incisor. Follow-up was done for one 1 year and no recurrence was seen.

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