Odontoma-induced Impaction: A Case Series Based Evaluation

Abstract

Compound odontomas are benign odontogenic tumors that frequently interfere with the eruption of permanent teeth, especially in the anterior maxillary region. This article presents a case series of three patients, each exhibiting impacted maxillary central incisors due to the presence of a compound odontoma. All patients were in the mixed dentition stage and showed delayed eruption of one or both permanent central incisors. Radiographic imaging confirmed the presence of multiple tooth-like radiopaque masses obstructing the eruption path. CBCT evaluation done in two cases. Surgical enucleation of the odontoma was performed in all cases under local anesthesia. In two patients, spontaneous eruption of the impacted incisor was observed after post-surgery. One patient needed space creation with removable appliance, as no adequate space was available. This series emphasizes the importance of early diagnosis and intervention. Although odontomas are benign, their role as physical barriers can significantly impact the normal eruption sequence and proper treatment reduces the need for more complex orthodontic treatments later.