Compound Odontoma with Aesthetic Complaint in a Paediatric Patient

• Main Authors: Aline DOS Santos Letieri, Fabio Ribeiro Guedes, Bruno Augusto Benevenuto De Andrade, Oswaldo Costa Neto, Laura Guimarães Primo
• Format: Article
• Language: English
• Published: JCDR Research and Publications Private Limited 2019-02-01
• Series: Journal of Clinical and Diagnostic Research
• Subjects: aesthetics; child; impacted; impacted tooth; odontoma; odontogenic tumours
• Online Access: https://jcdr.net/articles/PDF/12545/39826_CE[Ra1]_F(KM)_PF1(AB_SL)_PFA(AB_SL)_PB(NC_AB_SL)_PN(SL).pdf

Odontomas are benign mixed odontogenic tumours that are detected during routine radiographs since they are asymptomatic and present a very low growth rate. However, when such lesions are not detected early, it can lead to several alterations. Thus, the present case describes a nine-year-old boy presenting an aesthetic complaint related to the prolonged retention of the primary upper central incisors and slight facial oedema. After clinical and radiographic examination, extracting the retained teeth and completely excising the lesion was proposed. After laboratory tests, the diagnosis confirmed a compound odontoma. During the follow-up, a conservative approach was taken, and the spontaneous eruption of the permanent upper central right incisor was observed. According to the patient’s report, there was an increase in self-esteem and satisfaction with his smile. This case highlights the importance of routine exams to detect issues early and to effectively treat dental changes, such as compound odontoma, reducing the risk of sequelae and improving its prognosis. It is important to note that even paediatric patients can complain about dental aesthetics, which can affect their well-being and emotional state.