International Dentistry Journal (ISSN: 3065-4505) | Volume 4, Issue 4 | Case Report | Open Access
Sarah Fatima*
Godvine, Laxmi Shravya, Sarah Fatima*, Katkam Vishnupriya, Rakesh M, Nikitha M, Indusree K, Shivakumar L, Varsha Ch
Department of Oral and Maxillofacial Surgery, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, India
*Correspondence to: Sarah Fatima
Fulltext PDFCompound odontomas are benign odontogenic hamartomas composed of multiple tooth-like structures. Although asymptomatic in many cases, they can significantly interfere with normal dental development, particularly by obstructing the eruption of permanent teeth in the anterior maxilla.
This report describes a rare case of a 20-year-old male presenting with delayed eruption of the right maxillary central incisor. Radiographic evaluation revealed a compound odontoma composed of multiple denticles obstructing the eruption path. Surgical enucleation was performed under local anaesthesia, and a total of 35 denticles were retrieved-27 resembling anterior teeth and 8 resembling posterior teeth. Histopathological analysis confirmed the diagnosis of compound odontoma. Postoperative healing was uneventful, and the patient was referred for orthodontic management. This case highlights the importance of early radiographic screening in patients with delayed eruption. The unusually high number of denticles makes this a rare and instructive presentation, contributing to the morphological spectrum of compound odontomas. Surgical excision remains the treatment of choice, with excellent prognosis and minimal recurrence.
Compound odontoma; Denticles; Odontogenic hamartoma; Delayed eruption; Maxillary anterior region; Impacted incisor; Surgical enucleation; Tooth-like structures; CBCT diagnosis; Odontogenic tumor
Godvine, Laxmi Shravya, Sarah Fatima, Katkam Vishnupriya, Rakesh M, Nikitha M, Indusree K, et al. Extensive Compound Odontoma in the Right Maxillary Anterior Region: A Rare Case Report. Int Dent Jour. 2025;4(4):1-6.