Journal of PEARLDENT

Developmental anomalies of jaw are many a times accidental findings. Odontome being one of the most important hamartomatous malformation with varied appearance. The structural relationship vary from nondescript mass of dental tissue referred to as complex odontome and multiple well-formed teeth (denticles) known as compound odontome. Odontomes are often found during routine radiographic investigations and are often the cause of delayed eruption of the permanent teeth. Familiarization of dentists to the unusual appearance of hamartomatous formations in jaw is indispensable for proper diagnosis and management. This paper presents a case of a large compound odontome in a 5-year old girl with its unusual appearance in the mandibular anterior region that had enlarged over time. Radiographic assessment was conducted and the lesion was surgically enucleated. Routine follow-up was carried and no relapse was noted.