# Developing Odontoma in the Mandible of an Eight-Year-Old Boy

**Authors:** Sandeep Singh Sihmar, Shalini Rathi, Karthikeyan Ramalingam, Pratibha Ramani, Sathya Sethuraman

PMC · DOI: 10.7759/cureus.56230 · Cureus · 2024-03-15

## TL;DR

A case study describes a developing odontoma in an eight-year-old boy's jaw, diagnosed through clinical and histopathological analysis.

## Contribution

The paper presents a rare case of developing odontoma in a child, emphasizing diagnostic methods and clinical features.

## Key findings

- Clinical and radiographic findings indicated a well-defined radiolucency around unerupted and impacted premolars.
- Histopathology showed odontogenic epithelium, myxofibrous stroma, and calcified structures.
- Special stains confirmed the diagnosis of developing odontoma.

## Abstract

Benign mixed odontogenic tumors have been repeatedly classified and reclassified over the past few decades. Odontoma is considered a hamartoma due to its slow growth and non-aggressive nature. We present an interesting case of developing odontoma in an eight-year-old boy. His complaint was a slow-growing swelling in the lower right back tooth region. Clinical examination revealed a carious deciduous second molar. The orthopantomogram revealed a well-defined radiolucency around the unerupted mandibular first premolar and impacted mandibular second premolar. Histopathology revealed an odontogenic epithelial lining overlying myxofibrous stroma with inflammatory cells and calcified structures with few odontogenic rests. Special staining methods including Van Gieson and modified Gallego stains led to the final diagnosis of a developing odontoma.

## Linked entities

- **Diseases:** odontoma (MONDO:0043251)

## Full-text entities

- **Diseases:** swelling (MESH:D004487), Odontoma (MESH:D009810), hamartoma (MESH:D006222), Benign mixed odontogenic tumors (MESH:D009808)

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11016319/full.md

## References

16 references — full list in the complete paper: https://tomesphere.com/paper/PMC11016319/full.md

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Source: https://tomesphere.com/paper/PMC11016319