Complex odontoma in the lower left mandible of a 4-year-old child: Surgical management and histomorphological insights

Odontomas are the most common odontogenic tumors, typically asymptomatic and often identified incidentally on radiographic examination. They are broadly classified into compound odontomas, which exhibit tooth-like structures, and complex odontomas, which consist of a disorganized mass of dental tissues lacking morphological resemblance to teeth. Although complex odontomas predominantly occur in the posterior mandible, their presentation in the anterior mandibular region is exceedingly rare. This article reports a case of a 4-year-old child presenting with swelling in the anterior mandibular canine region. Clinical and radiographic findings suggested a complex odontoma in the lower left mandible, which was surgically excised and confirmed histopathologically.