Management of a Compound Odontoma in Association with a Retained Primary Tooth and Delayed Eruption of Permanent Maxillary Central Incisor in an 8-Year-Old Girl: A Case Report

Odontomas are the most common odontogenic tumors, frequently detected during radiographic evaluations in children with delayed tooth eruption or retained primary teeth. This case report presents a comprehensive clinical scenario of an 8-year-old girl who was initially referred for a toothache in the mandibular region. Incidentally, a retained maxillary primary incisor was discovered prompting further radiographic investigation. Imaging revealed a compound odontoma obstructing the eruption of the permanent maxillary right central incisor. The patient underwent surgical removal of the odontoma and extraction of the retained primary tooth. Orthodontic intervention and guided eruption using sectional fixed appliances, were employed to facilitate proper alignment of the impacted tooth. This report underscores the significance of early detection, accurate diagnosis, and collaborative treatment planning in managing complex odontogenic anomalies in children. Keywords: odontoma, pediatric dentistry, retained primary tooth, delayed eruption, maxillary expansion, orthodontic eruption