Management of Compound Odontoma in a Pediatric Patient

Odontomas represent the most common odontogenic tumors, typically asymptomatic and often identified incidentally during routine radiographic assessments. Although generally benign, they can impede the normal eruption of teeth. Compound odontomas, in particular, are composed of tooth-like structures and may obstruct the eruption of permanent teeth, necessitating intervention. This case report details the clinical management of a compound odontoma in an eight-year-old Saudi patient, who presented with an asymptomatic, hard swelling between the maxillary primary central incisor and canine. Clinical and radiographic evaluations revealed a radiopaque mass consistent with a compound odontoma, resulting in delayed eruption of the primary central and lateral incisors. The patient underwent surgical excision of the odontoma under general anesthesia. Careful dissection allowed the preservation of adjacent primary teeth, minimizing disruption to the dental arch and ensuring sufficient space for the normal eruption of permanent teeth. Histopathological examination confirmed the diagnosis of compound odontoma, with characteristic enamel and dentin-like structures. Postoperative recovery was uneventful, and the patient was closely monitored to observe the progression of the erupting permanent teeth. Timely identification and surgical treatment of compound odontomas are crucial to avoiding complications related to delayed tooth eruption. In this instance, the surgical removal of a compound odontoma in an eight-year-old patient preserved neighboring teeth and supported the natural eruption of permanent dentition. Regular radiographic evaluations played a key role in achieving an early diagnosis, allowing for prompt treatment and favorable oral health outcomes in pediatric care.