A peculiar case of odontoma and impacted mandibular canine

Cesare D'Amico; Ankita Mathur; Rosaria Moscara; Aida Meto; Luca Fiorillo; Cesare D'Amico; Ankita Mathur; Rosaria Moscara; Aida Meto; Luca Fiorillo

doi:10.3934/jdms.2025002

Journal of Dentistry and Multidisciplinary Sciences

2025, Volume 1, Issue 1: 4-12. doi: 10.3934/jdms.2025002

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Case report

A peculiar case of odontoma and impacted mandibular canine

1.
School of Dentistry, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, via Consolare Valeria, 1, 98125 Messina, Italy
2.
Department of Dental Research Cell, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune 411018, India
3.
Private Practitioner, 89100 Reggio Calabria, Italy
4.
School of Dentistry, Aldent University, 1001 Tirana, Albania

Received: 10 December 2024 Revised: 16 April 2025 Accepted: 27 May 2025 Published: 24 June 2025

Odontomas account for a significant proportion of benign odontogenic tumors, often found incidentally due to their asymptomatic nature. This case report details a unique presentation of a mandibular compound odontoma in a 32-year-old male, resulting in the impaction of the mandibular right canine (tooth 4.3) and retention of the primary canine (tooth 8.3). Radiographic evaluation, including cone-beam computed tomography (CBCT), showed a radiopaque mixed lesion near the mandibular canal and the roots of adjacent teeth. Surgical management included the excision of the odontoma and extraction of the retained deciduous canine under local anesthesia, using rotary instruments to preserve adjacent structures. Postoperative healing was uneventful, with histopathological analysis confirming the lesion as a compound odontoma. This case underscores the significance of advanced imaging techniques in diagnosing and managing odontogenic lesions. It emphasizes the necessity for further research into alternative surgical methods and genetic factors influencing odontoma development.
- odontoma,
- odontogenic tumors,
- tooth,
- impacted,
- cone-beam computed tomography,
- surgical procedures,
- operative,
- histological techniques
Citation: Cesare D'Amico, Ankita Mathur, Rosaria Moscara, Aida Meto, Luca Fiorillo. A peculiar case of odontoma and impacted mandibular canine[J]. Journal of Dentistry and Multidisciplinary Sciences, 2025, 1(1): 4-12. doi: 10.3934/jdms.2025002

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Abstract

Odontomas account for a significant proportion of benign odontogenic tumors, often found incidentally due to their asymptomatic nature. This case report details a unique presentation of a mandibular compound odontoma in a 32-year-old male, resulting in the impaction of the mandibular right canine (tooth 4.3) and retention of the primary canine (tooth 8.3). Radiographic evaluation, including cone-beam computed tomography (CBCT), showed a radiopaque mixed lesion near the mandibular canal and the roots of adjacent teeth. Surgical management included the excision of the odontoma and extraction of the retained deciduous canine under local anesthesia, using rotary instruments to preserve adjacent structures. Postoperative healing was uneventful, with histopathological analysis confirming the lesion as a compound odontoma. This case underscores the significance of advanced imaging techniques in diagnosing and managing odontogenic lesions. It emphasizes the necessity for further research into alternative surgical methods and genetic factors influencing odontoma development.

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