Compound Odontoma


Definition: A tumor consisting of enamel, dentin, cementum and pulp tissue. A compound odontoma will have defined tooth-like shaped entities (denticles) within the lesion.

Radiographic Features:

Location: Maxillary anterior region is most common.

Edge: Well-defined. Corticated.

Shape: Tooth-like shape radiopacities within the lesion.

Internal: Mixed radiolucent/radiopaque with radiopacity of tooth structure (enamel and dentin).

Other: Commonly prevents normal eruption of permanent teeth.

Number: Single. Multiple is rare but possible.

(Click image to enlarge)

Periapical radiographs - note the multiple well-defined tooth-like structures  in the left anterior mandible.

Periapical radiographs – note the multiple well-defined tooth-like structures in the left anterior mandible.

 

Periapical radiograph - note the compound odontoma between the canine and lateral incisor roots.

Periapical radiograph – note the compound odontoma between the canine and lateral incisor roots.

 




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