PMC4144053_01
Preoperative view:retained deciduous incisors, missing permanent incisors
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F1
Clinical examination of the maxillary anterior region revealed retained missing right maxillary permanent central and lateral incisor with retained deciduous incisors (Fig. 1).
Panoramic radiograph showing a single calcified mass
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F2
Panoramic radiograph (Fig. 2) revealed that a mass of radiopaque structure was present in proximity crown of the maxillary right central incisor which was impacted.
Periapical radiograph showing a single lesion of compound odontoma
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F3
Periapical radiograph of the maxillary right incisor region showed that multiple radiopaque structures were presented adjacent to the crown of the impacted central incisor and mesial to the canine (Fig. 3).
Mass of soft tissue seen superficial to the odontome
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F4
A mass of soft tissue 5 mm by 5 mm (Fig. 4) in the path of approach to the odontoma was excised and sent for histopathology along with the odontoma (Figs 5 and 6).
Exposure of the odontoma following removal of soft tissue
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F5
A mass of soft tissue 5 mm by 5 mm (Fig. 4) in the path of approach to the odontoma was excised and sent for histopathology along with the odontoma (Figs 5 and 6).
Odontoma after complete enucleation
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F6
A mass of soft tissue 5 mm by 5 mm (Fig. 4) in the path of approach to the odontoma was excised and sent for histopathology along with the odontoma (Figs 5 and 6).
Decalcified section of the odontome showing (A) dentinal tubules, (B) pulpal space
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F7
The mass of hard tissue was confirmed to be a compound odontoma with the decalcified section (Fig. 7) showing dentinal tubules and pulp space as in the case of a normal tooth.
Postoperative radiograph after one week
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F8
The patient had an uneventful recovery and a periapical radiograph taken one week later shows no undue changes (Fig. 8).