A Ghost in a Host! – An Odontome with Unusual Presentation.

Odontomas are hamartomas, being of two types: Compound and complex and are nonaggressive hamartomatous developmental malformations or tumors of odontogenic origin, which consists of enamel, dentin, cementum and pulpal tissue. They are usually asymptomatic and diagnosed on routine radiological studies in the second and third decades of life. Compound variety is more often found in anterior maxilla; complex occurs in molar areas of either jaw. Mean age of occurrence is 12-16 years. Radiographically, they present as radiopacities surrounded by a radiolucent rim in complex variety and tooth like structures of different size and shape surrounded by radiolucency in compound variety. Here, we have discussed a rare case of erupting complex odontoma associated with an impacted mandibular third molar.

Uncommon presentation of common disease.

Tuberculosis is a chronic, granulomatous disease. Primary lesion usually occurs in the lung. Extra pulmonary infection commonly involves head, neck and abdomen. In the absence of typical features of tuberculosis, tuberculous cellulitis mimicking oral infection may pose a challenge for diagnosis. In an attempt to highlight an uncommon presentation, we document a case of extra pulmonary tuberculosis in the parotid gland (tuberculous parotitis), without evidence of pulmonary tuberculosis and HIV. A 30 year old female from low socio-economic status reported with pain in front of the left ear and difficulty in opening her mouth. Swelling was present on left side of the face without evidence of intraoral focus of infection. She was diagnosed to be having tuberculosis of parotid gland after fine needle aspiration cytology (FNAC), Ultrasonography (USG) and histopathological examination and was treated medically and surgically.