Case Study: Compound Odontoma

This is a collection of small radiopaque masses, some or all of which may be tooth-like. The numbers vary from two to several dozen. These unerupted tooth-like masses have a tendency to occur in the anteriorsegments of the jaws, with a somewhat greater incidence in the maxilla. A compound odontoma is formed by an exuberant growth of the dental lamina or byproliferation of an enamel organ into a number of small enamel organs.
Odontomas are self-limiting hamartomas, they have an extremely slight possibility of cystic degeneration. They usually occur in a young age, thusthey can prevent or deviate the eruption of developing teeth or cause root resorption of adjacent teeth.
3D imaging with Cone Beam CT is the technique of choice to detect and localize odontomas; it is the primary tool for surgical/orthodontic treatment planning.

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By Marcel Noujeim DDS MS

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