Complex odontoma associated with an impacted upper central incisor: a case report and review of literature.

backgroundComplex odontomas are noncancerous growths made of dental tissues such as enamel, dentin, and cementum. They are usually found in the back part of the jaw and mostly affect children and young adults. This case is different because it involves an older adult and a less common location, namely the front upper jaw. CASE PRESENTATION: A 35-year-old North African man came to the clinic with a painless swelling near his upper front tooth (central incisor). After a clinical check-up, imaging tests (cone-beam computed tomography), and laboratory tests on the removed tissue, he was diagnosed with a complex odontoma. The tumor was removed through surgery performed with local anesthesia. The patient healed well and had no problems after the procedure. He was then referred to the orthodontist to retract the impacted central incisor, as previously discussed before the surgery.

conclusionThis case shows that complex odontomas can also occur in older adults and in unusual areas such as the front of the mouth or upper central incisors. This contributed to new information to existing medical literature, which usually focuses on younger patients and back teeth. Diagnosis early in the process, choosing the right surgical intervention, and proper follow-up helped ensure a good result for the patient.