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Large erupted complex odontoma mimicking maxillary osteomyelitis
  1. Subham Agarwal1,
  2. Santhosh Rao1,
  3. Joseph Lepcha2 and
  4. Virat Galhotra2
  1. 1Dentistry - Oral & Maxillofacial Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
  2. 2Dentistry, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
  1. Correspondence to Dr Santhosh Rao; santhosh{at}


Odontoma is the most common benign odontogenic hamartoma. Odontomas are of two types, such as viz compound and complex odontoma. The complex type is a conglomeration of hard tissues of dental origin. They are primarily intraosseous and usually present in the second decade of life. Most odontomas are asymptomatic, but those erupting in the oral cavity may cause severe infection. They are often associated with impacted teeth and are present with the anterior maxilla showing the highest propensity.

The present case report is of a male patient in his early 60s with a substantial solitary sclerotic odontoma of the middle and posterior segments of the maxilla erupted into the oral cavity communicating with the right maxillary sinus. The delayed presentation, size, location and active suppuration can misguide clinicians.

  • Dentistry and oral medicine
  • Radiology (diagnostics)
  • Mouth

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  • Contributors SA: did literature search and wrote the manuscript. SR: performed surgery and proof read. JL: manuscript writing. VG: supervision.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.