Rare case of bilateral complex odontoma associated with mandibular bicuspids

Abstract

Among oral pathologic lesions, odontomas are the most common odontogenic tumor of the jaws and generally asymptomatic. They are mostly diagnosed as a result of routine radiographic investigation. In this report, we describe a very rare occurrence of bilateral complex odontoma in the region of the mandibular second premolar. Conservative surgical procedure was planned, and removal of the odontomas was carried out through the socket after extraction of the deciduous second molars, and the diagnosis was confirmed with a histopathological study.

Multiple complex odontomas of the mandible: a rare case report and literature review

“…A thin layer of cementum is frequently found at the periphery of the mass. The soft tissue capsule, if present, generally consists of immature connective tissue with cords or islands of ameloblastic epithelium (17,20) . In the present case, the microscopic features are characteristic of a developing odontoma, including tissue resembling a developing tooth germ and scarce mineralized material.…”