Characteristics, Diagnosis and Treatment of Compound Odontoma Associated with Impacted Teeth

Compound odontoma is a malformation typical of young adults below the age of 20, with a slight preference for the male gender and the anterior region of the maxilla. Clinically asymptomatic, it can be detected during a radiological investigation in connection with the persistence of deciduous dental elements and the impaction of definitive ones. The treatment of choice is excisional surgery and recurrence is a rare event. The need for orthodontic therapy for impacted elements is usually not necessary because in most cases, odontomas are small, circumscribed lesions the size of a permanent tooth. In this article, the diagnostic and therapeutic surgical excision procedure is presented in three patients at developmental age with large compound odontomas associated with at least one retained canine, and in two of the cases, with serious transmigration to the impacted tooth elements.

Automated summary

Compound odontoma is a common malformation in young adults, with a male predominance and a preference for the anterior region of the maxilla. It is usually asymptomatic and can be detected through radiological investigation in connection with the persistence of deciduous dental elements and the impaction of permanent teeth. Excisional surgery is the preferred treatment method with rare recurrence. Orthodontic therapy is typically not necessary due to the small size of odontomas, which are localized lesions similar in size to permanent teeth.