case_images: PMC3220174_01
case_images: (a and b) Pre-treatment extraoral photographs
case_images: CCD-2-37-g001.jpg
case_images: PMC3220174_01_CCD-2-37-g001.jpg
case_images: F1
case_images: Extraoral examination revealed no facial asymmetry [Figure 1].
case_images: Pre-treatment intraoral photographs
case_images: CCD-2-37-g002.jpg
case_images: PMC3220174_01_CCD-2-37-g002.jpg
case_images: F2
case_images: Intraoral examination revealed unerupted maxillary right central incisor associated with a mild asymptomatic swelling which was slightly mobile on palpation, butwith no inflammation of the overlying mucosa [Figure 2].
case_images: (a, b and c) Pre-treatment radiographs
case_images: CCD-2-37-g003.jpg
case_images: PMC3220174_01_CCD-2-37-g003.jpg
case_images: F3
case_images: Intra-oral periapical, occlusal, and panoramic radiographs revealed the presence of the right central incisor with a radiopaque mass present incisally, thereby obstructing its eruption [Figure 3].
case_images: Surgical exposure of the odontoma
case_images: CCD-2-37-g004.jpg
case_images: PMC3220174_01_CCD-2-37-g004.jpg
case_images: F4
case_images: A mucoperiosteal flap extending from the labial surface of right canine to the left canine was reflected and the calcified mass was exposed [Figure 4].
case_images: Excised specimen
case_images: CCD-2-37-g005.jpg
case_images: PMC3220174_01_CCD-2-37-g005.jpg
case_images: F5
case_images: The calcified structure measured 13 mm mesiodistally and 6 mm incisocervically [Figure 5].The specimen was sent for histopathological examination which confirmed it as a complex composite odontoma with haphazardly arranged hard tissues of tooth like dentin and globules of cementum-like material [Figure 6].
case_images: Photomicrograph shows mixture of dental tissues arranged haphazardly [H and E stain, x16]
case_images: CCD-2-37-g006.jpg
case_images: PMC3220174_01_CCD-2-37-g006.jpg
case_images: F6
case_images: The calcified structure measured 13 mm mesiodistally and 6 mm incisocervically [Figure 5].The specimen was sent for histopathological examination which confirmed it as a complex composite odontoma with haphazardly arranged hard tissues of tooth like dentin and globules of cementum-like material [Figure 6].
case_images: Begg's bracket with ligature wire extending bonded on the impacted incisor
case_images: CCD-2-37-g007.jpg
case_images: PMC3220174_01_CCD-2-37-g007.jpg
case_images: F7
case_images: A Begg's bracket with a ligature wire extending was bonded onto the impacted incisor [Figure 7].
case_images: Post-treatment intraoral photograph
case_images: CCD-2-37-g008.jpg
case_images: PMC3220174_01_CCD-2-37-g008.jpg
case_images: F8
case_images: The Begg's bracket was replaced with a 0.018" MBT prescription bracket, and final finishing and detailing was achieved [Figure 8].The total active treatment duration was 18 months.
case_images: (a and b) Post-treatment extraoral photographs
case_images: CCD-2-37-g009.jpg
case_images: PMC3220174_01_CCD-2-37-g009.jpg
case_images: F9
case_images: Figure 9 shows the extraoral photographs of the patient displaying a pleasing smile.
case_images: (a, b, and c) Post-treatment radiographs
case_images: CCD-2-37-g010.jpg
case_images: PMC3220174_01_CCD-2-37-g010.jpg
case_images: F10
case_images: Figure 10 shows the post-treatment radiographs of the patient.