Odontome is a developmental anomaly where dental tissues are disorganized and laid down in an abnormal pattern. Though several theories have been put forward, the etiology is still unknown. Occasionally an odontome may be associated with... more
Odontome is a developmental anomaly where dental tissues are disorganized and laid down in an abnormal pattern. Though several theories have been put forward, the etiology is still unknown. Occasionally an odontome may be associated with an impacted tooth interfering with the latter's eruption into the oral cavity. This is a case report in which a complex odontome lying superior to an impacted third molar not only prevents it from erupting but also pushes it inferiorly towards the lower border of the mandible resulting in a visible bulge affecting patient's esthetics. To make things worse, the close proximity of the inferior alveolar nerve along with a dilaceration of the impacted third molar made treatment planning a difficult task.
A four year old male child presented with a history of cat bite induced dental trauma. This resulted in loss of primary maxillary left central incisor, intrusion of primary maxillary right central incisor and hard swelling in the labial... more
A four year old male child presented with a history of cat bite induced dental trauma. This resulted in loss of primary maxillary left central incisor, intrusion of primary maxillary right central incisor and hard swelling in the labial gingiva in the region of primary maxillary right lateral incisor and canine. Routine radiographs revealed the presence of multiple calcified masses in relation to the primary maxillary right lateral incisor and canine. The treatment included surgical removal of the tooth like structures under local anaesthesia to prevent any further harm to the growing tooth bud. Histopathology confirmed the presence of compound odontome. There has been no episode of recurrence at one year follow up period. The most damaging sequel of injuries to primary teeth is their effects on the developing permanent teeth. Therefore the management of injuries to primary teeth should aim for minimizing harm to the permanent tooth buds.
Odontome is a developmental anomaly where dental tissues are disorganized and laid down in an abnormal pattern. Though several theories have been put forward, the etiology is still unknown. Occasionally an odontome may be associated with... more
Odontome is a developmental anomaly where dental tissues are disorganized and laid down in an abnormal pattern. Though several theories have been put forward, the etiology is still unknown. Occasionally an odontome may be associated with an impacted tooth interfering with the latter’s eruption into the oral cavity. This is a case report in which a complex odontome lying superior to an impacted third molar not only prevents it from erupting but also pushes it inferiorly towards the lower border of the mandible resulting in a visible bulge affecting patient’s esthetics. To make things worse, the close proximity of the inferior alveolar nerve along with a dilaceration of the impacted third molar made treatment planning a difficult task.
