case_images: PMC11807399_01
case_images: (A-I) Preoperative intraoral radiographs and clinical images illustrating localized swelling in the maxillary region, specifically between the primary central incisor and primary canine on the right side. The radiographs highlight the extent of the lesion and its relation to adjacent structures. (J) Panoramic radiograph showing a well-defined radiopaque lesion in the maxilla, consistent with the diagnosis of an odontoma. (K) CBCT sagittal plane image revealing the precise location, size, and density of the odontoma within the maxilla. (L) CBCT sagittal lateral plane image providing a lateral perspective, delineating the odontoma's proximity to surrounding anatomical structures. (M) CBCT coronal plane image demonstrating the odontoma's spatial orientation and the degree of impaction relative to adjacent teeth and bone.. CBCT, cone beam computed tomography
case_images: cureus-0017-00000077241-i01.jpg
case_images: PMC11807399_01_cureus-0017-00000077241-i01.jpg
case_images: FIG1
case_images: Arabia, with his father, who reported the presence of a hard swelling related to the upper front side of his son's jaw. Clinical examinations revealed a swelling located between the right upper primary central incisor and primary canine (Figures 1A-1I), along with delayed eruption of the upper right permanent central and lateral incisors, multiple carious teeth, defective restorations, malocclusion, generalized mild marginal biofilm-induced gingivitis, and a normal count of primary teeth with no previous trauma. A panoramic radiograph (Figure 1J), cone beam computed tomography (CBCT) (Figures 1K-1M), two horizontal bitewings, and selected periapical radiographs were obtained for the radiographic evaluation of deep carious teeth.
case_images: Intraoral photographs illustrating the surgical removal of the odontoma. (A) Swelling is located between the right upper primary central incisor and primary canine. (B-C) A full-thickness, mucoperiosteal, papilla-preserving flap with two releasing incisions was elevated, exposing the surgical site, and the bony prominence overlying the lesion was visualized and prepared for removal. (D-E) The outer bony surface was meticulously removed using a high-speed surgical round bur under copious saline irrigation to prevent overheating, initial exposure of the irregular odontoma mass within the maxilla, gradual isolation and mobilization of the odontoma from the surrounding bone, taking care to preserve adjacent structures, and complete removal of the odontoma along with the retained primary central and lateral incisors. (F-G) Inspection of the surgical site to confirm thorough excision, followed by closure of the flap with sutures to promote healing. (H) Odontoma along with the retained primary central and lateral incisors.
case_images: cureus-0017-00000077241-i02.jpg
case_images: PMC11807399_01_cureus-0017-00000077241-i02.jpg
case_images: FIG2
case_images: The bony prominence was exposed, and the outer surface was removed using a high-speed surgical round bur under cooling (Figures 2A-2H).
case_images: (A, B) Six-month postoperative radiographs showing proper alignment and eruption pathways of the permanent teeth, with no residual signs of the odontoma or retained primary teeth, and radiographic confirmation of healthy bone remodeling and integration around the surgical site.
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case_images: PMC11807399_01_cureus-0017-00000077241-i03.jpg
case_images: FIG3
case_images: A six-month follow-up revealed positive healing, significant progress in the eruption of the permanent teeth, and intact restorations (Figures 3A, 3B, 4A-4E).