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Huge complex composite odontoma of mandible
  1. Hari Ram,
  2. Ezhilarasi Sundaram,
  3. Ravi Katrolia and
  4. Richa Gupta
  1. Oral and Maxillofacial Surgery, King George Medical University, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Hari Ram; hariram81{at}


A young female patient reported to the department of oral and maxillofacial surgery with complaint of asymptomatic swelling in left posterior region of lower jaw since 6 months. Complete intraoral and extraoral clinical examination was done. Routine radiographical investigations were advised. Based on clinical and radiographical findings she was provisionally diagnosed with odontoma of left mandible. It was a considerably giant mass with thinned out both cortical plates and the inferior border of the mandible. Although we assumed high risk of fracture of the mandible, successful surgical excision of the tumour was done using a minimally invasive intraoral approach and by sectioning the odontoma, sparing cortical bones. We managed to remove the whole of tumour without fracturing the mandible. Final histopathological report confirmed the initial diagnosis of complex composite odontoma. Patient is under regular follow-up.

  • Dentistry and oral medicine
  • Pathology
  • Ear, nose and throat

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  • Contributors HR wote the manuscript, ES and RG did web searching for article and RK edited the manuscript.

  • 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.