Compound odontome with 64 denticles: An exceptional case report

Odontomes are among the most common odontogenic tumors that consists of dental tissues organized in a disorderly pattern. The World Health Organization classification defines odontome as malformations in which all the dental tissues are represented. Here, we report a case of 12-year-old male who reported with chief complaint of a swelling in the upper right front tooth region since 4 months. Clinically, a diffuse, hard swelling was appreciated. Radiographic examination revealed irregular heterogeneously radio-opaque mass with peripheral radiolucency. Root resorption of 15 and impaction of 13 and 14 was noted along with missing lateral incisor. Surgical enucleation was done and 64 denticles were removed. No recurrence was reported. Most odontomes are asymptomatic and detected during routine dental examination. Hence, addressing the patient's primary complaint and conducting proper clinical and radiological examination may help in the early detection and intervention of such lesions with minimal complication.