Compound odontoma: clinical case report

Odontoma is the most common type of odontogenic tumor and is defined as a benign malformation. Odontomas are classified as complex and compound according to their histomorphologic characteristics. We report the case of a compound odontoma of an 11-year-old female patient with no eruption of teeth 11 and 21. On physical examination, there was no facial asymmetry and painless swelling in the anterior region of the maxilla. Panoramic and occlusal radiographs revealed teeth 11 and 21 were included and impacted by calcified tissues similar to denticles, with the radiographic diagnostic hypothesis of a compound odontoma. The procedure was surgery with local anesthesia of the incisor, greater palatine, and infraorbital foramen; semilunar incision; and mucoperiosteal detachment. Odontoma is one of the causes of dental impaction diagnosed in radiographic exams during investigation of the cause of unerupted teeth. As evidenced, imaging exams played a decisive role in elucidating the diagnosis.