Intra Oral Approach for Complex & Compound Odontomas (Large or Small)


Odontoma by definition alone refers to any tumour of odontogenic origion. These are considered to be hamartomatous malformation rather than true neoplasm and are generally asymptomatic. World Health Organization defines a lesion as the complex odontoma: when the calcified dental tissues are simply arranged in an irregular mass bearing no morphologic similarity to rudimentary teeth. Compound odontomas: composed of all odontogenic tissues in an orderly pattern, which result in many teeth-like structures, but without morphologic resemblance to normal teeth. The goal of this article is to report two cases of the complex odontomas erupted in oral cavity and compound odotome with impacted teeth. The article also aims to report that intra oral approach for removal of odontomas complex or compound small or large is better than extra oral approach.

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Lone, P. , Kour, I. and Gandral, A. (2014) Intra Oral Approach for Complex & Compound Odontomas (Large or Small). Modern Plastic Surgery, 4, 35-45. doi: 10.4236/mps.2014.43008.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Shafer, W.G., Hine, M.K. and Levy, B.M. (1993) A Text Book of Oral Pathology. 4th Edition, WB Saunders & Co., Philadelphia, 308-312.
[2] Vengal, M., Arora, H., Osh, S. and Pai, K.M. (2007) Large Erupting Complex Odontoma—A Case Report. Journal of the Canadian Dental Association, 73, 169-172.
[3] Shafer, W.G., Hine, M.K. and Levy, B.M. (1983) Text Book of Oral Pathology. 4th Edition, West Washington Square, WB Saunders Company, Philadelphia.
[4] Regezi, J.A. and Sciubba, J.J. Oral Pathology Clinical Pathologic Correlation. 3rd Edition, WB Saunders, Philadelphia, 350-352.
[5] Cawson, R.A., Binnie, W.H. and Eveson, J.W. (1993) Color Atlas of Oral Disease. Clinical and Pathological Correlations. Mosby-Wolfe, Hong Kong, 6-19.
[6] Owens, B.M., Schuman, N.J., Mincer, H.H., Turner, J.E. and Oliver, F.M. (1997) Dental Odontomas: A Retrospective Study of 104 Cases. Journal of Clinical Pediatric Dentistry, 21, 261-264.
[7] Katz, R.W. (1989) An Analysis of Compound and Complex Odontomas. ASDC Journal of Dentistry for Children, 56, 445-449.
[8] Bengston, A.L., Bengston, N.G. and Benassi, L.R.D.C. (1993) Odontomas em pacientes pediátricos. Revista de Odontopediatria, 2, 25-33.
[9] Philipsen, H.P., Reichart, P.A. and Praetorius, F. (1997) Mixed Odontogenic Tumours and Odontomas. Considerations on Interrelationship. Review of the Literature and Presentation of 134 New Cases of Odontomas. Oral Oncology, 33, 86-99.
[10] Daley, T.D., Wysoki, G.P. and Pringle, G.A. (1994) Relative Incidence of Odontogenic Tumors and Oral Jaw Cyst in a Canadian Population. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 77, 276-280.
[11] Ibsen, O.A. and Phelan, J.A. (2002) Oral Pathology for the Dental Hygienist. 3rd Edition, WB Saunders Co., Philadelphia, 626-632.
[12] Yildirim-Oz, G., Tosun, G., Kiziloglu, D., Durmus, E. and Sener, Y. (2007) An Unusual Association of Odontomas with Primary Teeth. European Journal of Dentistry, 1, 45-49.
[13] Singh, S., Singh, M., Singh, I. and Khandelwal, D. (2005) Compound Composite Odontoma Associated with an Unerupted Deciduous Incisor—A Rarity. Journal of the Indian Society of Pedodontics and Preventive Dentistry, 23, 146-150.
[14] Mupparapu, M., Singer, S.R. and Rinaggio, J. (2004) Complex Odontoma of Unusual Size Involving the Maxillary Sinus: Report of a Case and Review of CT and Histopathologic Features. Quintessence International, 35, 641-644.
[15] Kaugars, G.E., Miller, M.E. and Abbey, L.M. (1989) Odontomas. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 67, 172-176.
[16] Garcia-Consuegra, L., Junquera, L.M., Albertos, J.M. and Odontomas, R.O. (2000) A Clinical-Histological and Retrospective Epidemiological Study of 46 Cases. Medicina Oral, 5, 367-372.
[17] Hisatomi, M., Asaumi, J., Konouchi, H., Honda, Y., Wakasa, T. and Kishi, K. (2002) A Case of Complex Odontoma Associated with an Impacted Lower Deciduous Second Molar and Analysis of the 107 Odontomas. Oral Diseases, 8, 100-105.
[18] Nelson, B.L. and Thompson, L.D. (2010) Compound Odontoma. Head and Neck Pathology, 4, 290-291.
[19] Serra-Serra, G., Berini-Aytés, L. and Gay-Escoda, C. (2009) Erupted Odontomas: A Report of Three Cases and Review of the Literature. Medicina Oral Patologia Oral y Cirugia Bucal, 14, E299-E303.
[20] Iatrous, I., Vardas, E., Theologie-Lygidakis, N. and Leventis, M. (2010) A Retrospective Analysis of the Characteristics, Treatment and Follow-Up of 26 Odontomas in Greek Children. Journal of Oral Science, 52, 439-447.
[21] Yadav, M., Godge, P., Meghana, S. and Kulkarni, S. (2012) Compound Odontoma. Contemporary Clinical Dentistry, 3, S13-S15.
[22] An, S., An, C. and Choi, K. (2012) Odontoma: A Retrospective Study of 73 Cases. Imaging Science in Dentistry, 42, 77-81.
[23] Chandra, S., et al. (2010) Compound Composite Odontoma Erupting into the Oral Cavity. Contemporary Clinical Dentistry, 1, 123-126.
[24] Rumel, A., de Fritas, A., Birman, E., Tannous, L., Chacon, P. and Borker, S. (1980) Erupted Complex Odontoma: Report of a Case. Dentomaxillofacial Radiology, 9, 5-9.
[25] Nisha, D., Rishabh, K., Ashwarya, T., Sukriti, M. and Gupta, S.D. (2011) An Usual Case of Erupted Composite Complex Odontoma. Journal of Dental Sciences & Research, 2, 1-5.
[26] Tuzum, M.S. (1990) Orofacial Pain Associated with an Infected Complex Odontoma. Case Report. Australian Dental Journal, 35, 352-354.
[27] Sood, P.B., et al. (2010) Multiple Supernumerary Tooth and Odontoma in the Maxilla: A Case Report. Contemporary Clinical Dentistry, 1, 45-46.
[28] Shekar, S.E., et al. (2009) Erupted Compound Odontoma. Journal of Oral and Maxillofacial Pathology, 13, 47-50.
[29] Singh, V., Dhasmana, S., Mohammad, S. and Singh, N. (2010) The Odontomas: Report of Five Cases. National Journal of Maxillofacial Surgery, 1, 157.

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