PMC3220068_01
(a) Preoperative photograph; (b) postoperative photograph showing esthetic rehabilitation
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F1
An intra-oral examination revealed a conical tooth in the position of the right central incisor; the left central incisor was missing [Figure 1].
(a) Occlusal radiograph with calcified structures; (b) 2-year follow-up of the occlusal radiograph showing a complete healing process
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F2
Radiographs showed three irregular masses of calcified tissue resembling teeth-like structures in the palate; they were inverted and the structure resembled the tooth showing single pulp space and had dilacerated roots [Figure 2].
(a and b) Intra-operative photograph; photograph (a) showing cystic lining on the tooth specimen; (c) teeth specimen
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F3
All the impacted calcified tissues were removed by the bone guttering technique [Figure 3].
(a) Decalcified section of a tooth showing multiple pulp spaces in between showing a dentin-like material (H and E stain with 4x magnification); (b and c) cells showing odontogenic cell features probably reminiscent of ameloblast in close approximation to dentin (decalcified section: H and E stain, 4x and 40x magnification, respectively); (d) connective tissue capsule detached from the surrounding hard tissue (H and E stain, 10x magnification)
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F4
A histopathological examination revealed that one calcified structure showed features of multiple pulp spaces and areas of active mineralization, and was diagnosed as a compound composite odontoma; other two teeth had normal histological features of a tooth and were termed as supernumerary teeth [Figure 4].