PMC3591077_01
Diffuse swelling in the left cheek
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F1
Immobile with neurosensory deficits. Intraorally, a yellowish white hard mass [Figure 1b] was seen in the region of clinically missing maxillary left first and second molar teeth with palatal as well as buccal expansion obliterating the buccal vestibule.
Erupted odontoma in place of the molar teeth
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F2
Routine conventional radiographs and CT scans were obtained [Figures 2a and 2b].
Pre-operative orthopantomogram with radiopaque mass in sinus and impacted maxillary first and second molar
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F3
The mass was excised intraorally in piecemeal due to its size [Figure 3a]. Histopathologically [Figure 3b] the decalcified section showed haphazard arrangement of dentin and cementum with numerous pulp spaces confirming the diagnosis as complex odontoma. The patient is under follow-up to assess the fate of the impacted teeth [Figure 3c] as there is evidence of them erupting once the odontoma is removed.
CT-Axial view showing hyperdense mass with surrounding hypodense halo around the mass
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F4
The collagen sheet failed to aid in healing of the defect, resulting in wound dehiscence [Figure 4a]. Wound healed completely without any postoperative complications [Figure 4b].