case_images: PMC3591077_01
case_images: Diffuse swelling in the left cheek
case_images: AMS-2-86-g001.jpg
case_images: PMC3591077_01_AMS-2-86-g001.jpg
case_images: F1
case_images: Immobile with neurosensory deficits. Intraorally, a yellowish white hard mass [Figure 1b] was seen in the region of clinically missing maxillary left first and second molar teeth with palatal as well as buccal expansion obliterating the buccal vestibule.
case_images: Erupted odontoma in place of the molar teeth
case_images: AMS-2-86-g002.jpg
case_images: PMC3591077_01_AMS-2-86-g002.jpg
case_images: F2
case_images: Routine conventional radiographs and CT scans were obtained [Figures 2a and 2b].
case_images: Pre-operative orthopantomogram with radiopaque mass in sinus and impacted maxillary first and second molar
case_images: AMS-2-86-g003.jpg
case_images: PMC3591077_01_AMS-2-86-g003.jpg
case_images: F3
case_images: The mass was excised intraorally in piecemeal due to its size [Figure 3a]. Histopathologically [Figure 3b] the decalcified section showed haphazard arrangement of dentin and cementum with numerous pulp spaces confirming the diagnosis as complex odontoma. The patient is under follow-up to assess the fate of the impacted teeth [Figure 3c] as there is evidence of them erupting once the odontoma is removed.
case_images: CT-Axial view showing hyperdense mass with surrounding hypodense halo around the mass
case_images: AMS-2-86-g004.jpg
case_images: PMC3591077_01_AMS-2-86-g004.jpg
case_images: F4
case_images: The collagen sheet failed to aid in healing of the defect, resulting in wound dehiscence [Figure 4a]. Wound healed completely without any postoperative complications [Figure 4b].