Compound Odontoma in Deciduous Dentition
A 4-year-old female patient visited the department of Oral Medicine and Radiology, Yenepoya Dental College, Yenepoya University, Mangalore with a complaint of swelling over the maxillary anterior region since 3½ years. Her parents noticed the swelling when she was 6 months old. Initially it was small in size and then gradually increased to the present size. It was not associated with pain or discharge. She gave a history of delayed eruption of primary teeth and no history of trauma has been reported. Her medical and family history was noncontributory. Extraoral examination showed no abnormality. Intraoral examination revealed a diffuse swelling in the maxillary anterior region [] measuring approximately 1 × 2 cm in size that extends from the midline located above the gingival margin with respect to maxillary primary central incisor, lateral incisor and canine. The swelling was nontender and bony hard in consistency, thus came to a provisional diagnosis of bony exostosis.\nIntraoral periapical radiograph in relation to right maxillary primary teeth revealed multiple radiopacities in irregular fashion with densities equal to or greater than that of tooth, separated and surrounded by a thin radioluscent capsule [] above which there is presence of developing permanent tooth bud. On the basis of history, clinical and radiographic examination a final diagnosis of compound odontoma was made. In the present case seeing the extent of the lesion a surgical excision was planned. Surgical removal of the odontoma was performed and the specimen was sent for histopathological examination []. Histologically, foci of odontogenic tissues comprising dentin and pulp tissue were found to be distributed in fibrous stroma []. These features were suggestive of compound odontoma. The patient was then reevaluated after 2 months.