Compound odontoma causing impaction of permanent maxillary incisors with associated ghost cell keratinization: A case report

Many times compound odontomas are found associated with unerupted teeth. The canines, followed by maxillary central incisors and third molars are the major teeth which are impacted by odontomas. Herewith, this paper reports a case of compound odontoma associated with impacted permanent right maxillary central and lateral incisors. An 11-year-old girl reported with a chief complaint of retained primary tooth. Intraoral examination revealed that primary maxillary right central and lateral incisors were retained while permanent maxillary left central and lateral incisors were erupted and well accommodated. A non-specific swelling was there on labial aspect of 51 and 52 tooth region, which was measuring about 0.5 cm × 1 cm, enlarging mesiodistally from distal of permanent left central incisor tooth to distal aspect of over retained right primary lateral incisor. Digital orthopantomograph showed calcified masses in the form of toothlike structures present above the root apex and distal aspect of 51 and 52, causing root resorption. On the source of the past, clinical and radiographic assessment a final opinion of compound odontoma was made.