A rare case of compound odontomas in anterior mandible.

Odontomas are non-aggressive hamartomatous developmental malformations or lesions of odontogenic origin consist of enamel, dentin, cementum and pulpal tissue. Odontomas are classified in to compound and complex. Maxillary anterior region is the most frequent site for the occurrence of compound odontomas. Intraosseous migration of unerupted teeth is a rare natural condition wherein the tooth usually shows impaction due to many pathological conditions and it occurs more in mandible involves primarily the second premolars or the canine. Among these many pathological conditions odontomas are the one of them but rarest is compound odontomas in anterior mandible. Although there are many studies and statistical data on lesions available, diagnosis should not be restricted by epidemiological characteristics. Instead it is important to account all clinical, radiographic, and pathologic signs and symptoms as well as differential diagnosis for definitive diagnosis. Additionally, it is clear that lesions often behave in an unforeseen or unusual ways. Thus, we are concluding that considering the literature, the compound odontomas their incidence is rare and unusual in anterior region of mandible. We are presenting a case with rare incidence of compound odontomas in anterior region of mandible with transmigration of impacted canine.

Massive keratocystic odontogenic tumor of mandible: A case report and review of literature.

Keratocystic odontogenic tumor (KCOT), also known as odontogenic keratocysts, as defined by World Health Organization (WHO), are known for their peculiar behavior, varied origin, debated development, unique tendency to recur, and disputed treatment modalities. We present a case of KCOT involving symphysis menti, right and left halves of the body of mandible in an 11-year-old girl treated with enucleation and open dressing (bismuth, iodoform, paraffin paste) with long-term follow-up.

Desmoplastic ameloblastoma: a report of two clinical cases

Desmoplastic ameloblastoma is a relatively rare histological variant of ameloblastoma with specific clinical, radiological, and histological features. Although radiographic examination of ameloblastomas usually reveals unilocular or multilocular radiolucency, desmoplastic ameloblastoma may appearas a mixed radiopaque-radiolucent lesion resembling benign fibro-osseous lesions. Histologically, desmoplastic ameloblastoma is characterized by small nests and strands of “compressed”odontogenic epithelium supported by pronounced collagenized stroma. This report describes two cases of desmoplastic ameloblastoma in the anterior maxilla of a female patient and the anterior mandible of a male patient, mimicking clinically as an odontogenic cyst.