Rare Case of Multiple Compound Odontomas with Dens Invaginatus Associated with Impacted Primary and Unerupted Permanent Maxillary Central Incisor – A Case Report.

Aims: An Odontoma is usually found in the surrounding area of the unerupted permanent tooth bud and rarely adjacent to the primary central incisor. Histopathological examination of the Odontoma revealed presence of surface invagination similar to Dens invaginatus. Presentation of Case: A seven year-old healthy girl presented with an unerupted maxillary left primary central incisor along with swelling of labial gingiva in that region. No history of traumatic injury was recorded. Radiological examination revealed impacted primary maxillary left central incisor and three irregular masses of calcified tooth like tissues. Discussion: Odontomas are commonly occuring hamartomas associated with permanent dentition. Odontomas are rarely associated with Primary dentition. Multiple Odontomas leading to impaction of primary incisors is still rarer. This report presents a case of an impacted primary central incisor and unerupted permanent central incisor due to multiple odontomas, one of which was histologically diagnosed as multiple compound odontoma with Dens invaginatus. The Odontomas and impacted primary central were surgically removed to facilitate the eruption of permanent incisor. Conclusion: This report presents a unique and rare case of multiple Odontomas leading to impaction of primary tooth and unerupted permanent incisor. This report also proves Odontomas with deep surface invagination similar to Dens Invaginatus can be present.

A Female Child with Oligodontia in Primary Dentition – Report of a Rare Case.

Aims: Non-Syndromic congenital absence of primary dentition is rare. A female child with congenital absence of primary incisors (n=6) is presented. Presentation of Case: A 4 year-old non-syndromic female child reported with missing several teeth. Intraoral examination revealed absence of (n=6) all four Mandibular Primary Incisors and two Maxillary Primary Lateral Incisors. Radiographic examination revealed absence of corresponding permanent tooth buds. Discussion: The management of this situation is critical for the child and parent point of view due to higher number of missing teeth and early age of reporting. The hypodontia leads to speech problems with lowered self esteem and restricted diet causing malnourishment. Management options include Removable partial denture, Speech therapy, orthodontic jaw expansion, Mini implants. Conclusion: This report presents a rare case of Oligodontia in female child of 4 years old and various management options.