Compound Odontoma with Multiple Denticles in the Anterior Mandible - a Rare Case

Odontomas, the most common odontogenic tumors that are considered as hamartomas rather than true neoplasms. Odontomas can be compound or complex odontoma or rather a rare combination of both compound and complex type. Etiology is unknown but can be due to local trauma or infection. We present a case of compound odontoma with multiple denticles in a 6-year-old girl. Initial local examination revealed the presence of a well-defined palpable swelling in relation to the right side of mandible. Intraoral hard tissue examination clinically revealed missing 81,82 and 41. A well-defined swelling of approximately 2 x 2 cm from the mesial aspect of 31 to mesial aspect of 83 was observed. The lesion was surgically excised by Neumann approach. Radiographic investigation & histopathological examination of the excised lesion confirmed the diagnosis as a compound odontoma with multiple denticles. Local surgical excision is the right treatment option and recurrence is rare.