PMC9834796_01
bump on the lingual surface in the mandibular region, lingo version and rotation of 80 degrees of the lower right lateral incisor 42, persistence of the left lower central incisor 71
PAMJ-43-108-g001.jpg
PMC9834796_01_PAMJ-43-108-g001.jpg
F1
But a bump on the lingual surface in the mandibular region, a lingo version and rotation of 80 degrees of the lower right lateral incisor 42 and persistence of the left lower central incisor 71, were observed (Figure 1).
periapical radiography showing mixed radio-opaque and radiolucent lesion in the region of 71, 42 surrounded by a thin radiolucent band
PAMJ-43-108-g002.jpg
PMC9834796_01_PAMJ-43-108-g002.jpg
F2
bone eviction to materialize odontomas
PAMJ-43-108-g003.jpg
PMC9834796_01_PAMJ-43-108-g003.jpg
F3
Therapeutic interventions: under local anesthesia, we have carried out the extraction of the 71, after that we started the eviction surgery of the odontoma, we tried to undertook a minimally invasive surgical removal, for that we started first with an incision and a detachment using a surgical stripper, after that an osteotomy using a bone burr, finally, after bone eviction we were able to materialize our odontomas and had started the harvest (Figure 3).
twenty-one (21) small tooth-like structures
PAMJ-43-108-g004.jpg
PMC9834796_01_PAMJ-43-108-g004.jpg
F4
The resected tumor was found to consist of 21 small tooth-like structures (Figure 4).
X-ray after 2 years
PAMJ-43-108-g005.jpg
PMC9834796_01_PAMJ-43-108-g005.jpg
F5
Before sutures, we did an X-ray control and found one last odontoma at the bottom, but since the patient was uncooperative, we could not extract it (Figure 5).
X-ray control, one last odontoma at the bottom
PAMJ-43-108-g006.jpg
PMC9834796_01_PAMJ-43-108-g006.jpg
F6
We took an X-ray, on our radiograph it turned out that it was the last odontoma that we had not been able to extract, but it evolved and grew in size (Figure 6).
extraction of the final odontoma and 31 was about to erupt
PAMJ-43-108-g007.jpg
PMC9834796_01_PAMJ-43-108-g007.jpg
F7
The decision to extract the odontoma was taken, moreover we were able to materialize the presence of the 31 in the process of eruption and since it presented the last obstacle before the eruption of the 31, we had performed the extraction of the last odontoma (Figure 7). Patient perspective: though dentition improvement was expected and the 31 was about to erupt (Figure 7).