The Long-Term Management of a Compound Odontoma: Successful Implant Rehabilitation After a Four-Year Follow-Up

TL;DR

A 15-year-old patient with a compound odontoma required surgical removal and, after four years, a dental implant to restore function and appearance.

Contribution

This case highlights successful implant rehabilitation after failed spontaneous eruption following odontoma excision.

Findings

Surgical excision of the compound odontoma was performed.

After four years, implant placement successfully restored function and aesthetics.

Individualized treatment planning is crucial when spontaneous tooth eruption does not occur.

Abstract

Odontomas are the most prevalent odontogenic tumors; these are often asymptomatic and detected incidentally during routine imaging. Despite their benign nature, they can interfere with normal tooth eruption and require timely surgical management. We present a case of a 15-year-old patient with a compound odontoma associated with an unerupted maxillary canine, leading to delayed dental development. Following surgical excision, the impacted canine failed to erupt spontaneously, necessitating a long-term follow-up approach. After four years, implant placement was performed to restore function and esthetics successfully. This report highlights the importance of individualized treatment planning in odontoma cases, particularly when spontaneous eruption fails to occur, and emphasizes the role of implant rehabilitation in optimizing long-term oral health outcomes.

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