European Journal of Biomedical and Pharmaceutical Sciences

COMPOUND AND COMPLEX ODONTOMES – CASE SERIES OF THREE CASES WITH REVIEW OF LITERATURE

*Dr. Swaminathan C. BDS, MDS, Dr. Sajesh BDS, MDS, Dr. Nandagopan BDS, MDS, Dr. Jithin BDS, MDS

ABSTRACT

Odontomes are most commonly occurring odontogenic tumour and earlier they were considered as developmental anomaly as the morpho differentiation of ameloblast does not occur in odontomes. Odontomes are considered as hamartoma rather than true neoplasms as histologically they contain odontogenic tissues which are native to the oral cavity. These odontomes are usually asymptomatic and are revealed in radiographic examination but can also present with over retained deciduous teeth and malocclusion and with other local complications like infection etc. Etiology of Odontomes is considered to be from genetic, local environmental and systemic factors. Broadly based on their radiologic and clinical features they are classified into two types compound composite odontomes and complex composite odontomes. The odontomes which resemble teeth are called compound composite odontomes and which donot resemble teeth are called complex composite odontomes. Odontomes are called composite odontomes as they contain both epithelial and mesenchymal derivatives. Here we report two cases of compound composite odontome, and a case of complex odontome with relevant review of literature.

Keywords: Compound composite odontome, Complex composite odontome, Surgical excision.