Bilateral Massive Complex Composite Odontoma of the Mandible: A Rare Case Report.

RATIONALE

Odontomas result from abnormal growth of differentiated epithelial and mesenchymal cells, which form ameloblasts and odontoblasts along with pulp tissue at times.

PATIENT CONCERNS

A patient reported with a chief complaint of hard swelling of the lower jaw causing difficulty in mouth opening and facial deformity.

DIAGNOSIS

A provisional diagnosis of complex odontome based on clinicoradiological findings was made, which was later confirmed as complex composite odontome histologically.

TREATMENT

Bilateral hard tissue mass was surgically removed from the mandible with utmost precaution to prevent jaw deformity. On fine separation, the specimen yielded nearly 82 small teeth-like structures.

OUTCOMES

Histopathologically, multiple small teeth-like structures with haphazardly arranged central fibrofatty pulpal stroma surrounded by well-formed dentinal tubules and empty areas representing decalcified enamel matrix surrounded by fibrovascular stroma at the periphery were seen.

TAKE-AWAY LESSONS: Early diagnosis and treatment ensures minimal surrounding deformities, better prognosis, and less chances of recurrence.