PMC3220174_01
(a and b) Pre-treatment extraoral photographs
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F1
Extraoral examination revealed no facial asymmetry [Figure 1].
Pre-treatment intraoral photographs
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F2
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].
(a, b and c) Pre-treatment radiographs
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F3
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].
Surgical exposure of the odontoma
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F4
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].
Excised specimen
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F5
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].
Photomicrograph shows mixture of dental tissues arranged haphazardly [H and E stain, x16]
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F6
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].
Begg's bracket with ligature wire extending bonded on the impacted incisor
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F7
A Begg's bracket with a ligature wire extending was bonded onto the impacted incisor [Figure 7].
Post-treatment intraoral photograph
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F8
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.
(a and b) Post-treatment extraoral photographs
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F9
Figure 9 shows the extraoral photographs of the patient displaying a pleasing smile.
(a, b, and c) Post-treatment radiographs
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F10
Figure 10 shows the post-treatment radiographs of the patient.