COMPOUND ODONTOMA ODONTOGENIC TUMOR: A RADIOGRAPHIC FINDING IN A PATIENT WITH CHRONIC PERIODONTITIS — CLINICAL CASE REPORT WITH CONSERVATIVE MANAGEMENT

Resumo

Odontoma is the most common odontogenic tumor, usually asymptomatic and incidentally diagnosed on radiographic examinations. This report describes the case of a 62-year-old Black female patient who sought dental care due to tooth mobility in her lower posterior teeth. The periodontal clinical examination, along with periapical radiographs, revealed generalized chronic periodontitis with grade 3 tooth mobility, requiring tooth extractions (Nunes et al, 2025). During the planning for extractions, a preoperative panoramic radiograph was requested, which showed the presence of a compound odontoma in the anterior region of the mandible, associated with an impacted tooth 43 in a horizontal position. The patient was asymptomatic and had no previous knowledge of any pathological condition in the maxillomandibular complex (Abrante et al, 2025a; Abrante et al, 2025b; Sousa et al, 2018). In the absence of symptoms and alterations associated with the compound odontoma, a conservative approach was adopted, with annual radiographic follow-up and suggested rehabilitation with removable dentures (Memarpour et al, 2025). The case reinforces the importance of combining clinical examination and imaging evaluation in dental practice, especially in situations requiring a more precise diagnosis. Although this pathology is usually identified in youth due to the absence of permanent tooth eruption, in this case, the diagnosis was made later in life due to the lack of imaging examinations during the patient’s childhood and adolescence (Memarpour et al, 2025). Thus, the diagnosis of a developmental odontogenic tumor of the compound odontoma type was made incidentally, and annual follow-up was considered the most appropriate approach for this case (Abrante et al, 2025a; Abrante et al, 2025b; Memarpour et al, 2025; Sousa et al, 2018).

Keywords: Compound odontoma. Odontogenic tumors. Advanced periodontitis. Panoramic radiography. Conservative management.