Malformation and delayed eruption of maxillary incisors caused by a warty tooth

A 7-year-old boy presented a delayed eruption of the maxillary left central incisor. Upon investigation the maxillary left central incisor was found to be fused, to an irregular and complicated mass that resembled a complex odontoma. The left central incisor and odontoma-like structure were extracted together as a single mass to prevent the risk of displacement and eruption disturbance of the maxillary left lateral incisor and canine. After enucleation of the malformed maxillary left central incisor, the mesially inclined maxillary left lateral incisor was restored with composite resin temporarily to resemble the morphology of the maxillary left central incisor and the canine was allowed to erupt naturally, resulting in esthetically aligned anterior teeth.