The Long-Term Management of a Compound Odontoma: Successful Implant Rehabilitation After a Four-Year Follow-Up

Odontomas are the most prevalent odontogenic tumors; these are often asymptomatic and detected incidentally during routine imaging. Despite their benign nature, they can interfere with normal tooth eruption and require timely surgical management. We present a case of a 15-year-old patient with a compound odontoma associated with an unerupted maxillary canine, leading to delayed dental development. Following surgical excision, the impacted canine failed to erupt spontaneously, necessitating a long-term follow-up approach. After four years, implant placement was performed to restore function and esthetics successfully. This report highlights the importance of individualized treatment planning in odontoma cases, particularly when spontaneous eruption fails to occur, and emphasizes the role of implant rehabilitation in optimizing long-term oral health outcomes.

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Publication Details

Journal
Cureus
Published
2025-04-25
DOI
https://doi.org/10.7759/cureus.82960
Primary Topic
Oral and Maxillofacial Pathology
Type
article
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article

The Long-Term Management of a Compound Odontoma: Successful Implant Rehabilitation After a Four-Year Follow-Up

C Akcay, C van der Tas, Oya Aktören, Hülya Çerçi Akçay et al.
Cureus
Oral and Maxillofacial Pathology
article

The Long-Term Management of a Compound Odontoma: Successful Implant Rehabilitation After a Four-Year Follow-Up

C Akcay, C van der Tas, Oya Aktören, Hülya Çerçi Akçay, Eda Sir
article en

Abstract

Odontomas are the most prevalent odontogenic tumors; these are often asymptomatic and detected incidentally during routine imaging. Despite their benign nature, they can interfere with normal tooth eruption and require timely surgical management. We present a case of a 15-year-old patient with a compound odontoma associated with an unerupted maxillary canine, leading to delayed dental development. Following surgical excision, the impacted canine failed to erupt spontaneously, necessitating a long-term follow-up approach. After four years, implant placement was performed to restore function and esthetics successfully. This report highlights the importance of individualized treatment planning in odontoma cases, particularly when spontaneous eruption fails to occur, and emphasizes the role of implant rehabilitation in optimizing long-term oral health outcomes.

CureusVol. 17(4)
Kocaeli Üniversitesi (TR), Istanbul University (TR)
Good health and well-being
Openalex Percentile: Top 88%
Oral and Maxillofacial Pathology
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The Long-Term Management of a Compound Odontoma: Successful Implant Rehabilitation After a Four-Year Follow-Up — C Akcay, C van der Tas, et al. · Cureus (2025) | TGRS Research Map | TGRS