Surgical treatment of complex odontoma in anterior maxilla – A rare case report

Abstract

Odontomas are the odontogenic tumour which are benign whose origin is from epithelial and mesenchymal cells. These have a high incidence rate and are widely acknowledged as hamartomas. Odontomas are mainly made up of enamel and dentin, with differing amounts of cementum and pulp. The aetiology is not known yet, the hypothesized causes are: local trauma, infection, inheritance and genetic mutation. Most of these lesions are not symptomatic and are frequently diagnosed on routine radiographs. They are divided histologically into complex and compound odontomas.These are generally diagnosed in the posterior region of the mandible and resemble haphazardly arranged tooth‑like structure. Here, we report the case of a patient who is 21 years of age with a complex odontoma-related impaction of permanent maxillary right central incisor which was managed by surgical excision through palatal approach.