Compound Odontoma in a Pediatric Patient: A Case Report

Abstract

Odontoma is the most common odontogenic lesion of the jaws and, according to the latest WHO classification, it corresponds to a benign hamartoma composed of enamel, dentin, pulp, and cementum arranged in a disorganized manner. Two types are distinguished: compound odontoma and complex odontoma. They are usually asymptomatic and often detected incidentally on radiographic examination, although they may cause delayed tooth eruption, pain, inflammation, and root resorption. We report the case of a 10-year-old female patient who presented with retained deciduous teeth and delayed eruption of permanent teeth 11 and 21. Radiographic studies revealed a multilobulated radiopaque lesion consistent with a compound odontoma. Complete surgical removal was performed under local anesthesia, and the diagnosis was confirmed by histopathological examination. In conclusion, radiographic evaluation should be considered when there are delays in dental eruption.