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Year : 2019  |  Volume : 11  |  Issue : 6  |  Page : 334-339

Odontoma- An Unfolding Enigma

1 Department of Oral and Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jouf University, Sakaka, Kingdom of Saudi Arabia
2 Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka, Kingdom of Saudi Arabia

Correspondence Address:
Dr. Rakhi Issrani
Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka
Kingdom of Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jioh.jioh_115_19

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Odontomas are thought to be hamartomatous malformations in which enamel, dentin, and pulp, and occasionally cementum, is present in a disorganized form. It develops by the completely differentiated epithelial and mesenchymal cells that form ameloblasts and odontoblasts respectively. With no gender predilection and often asymptomatic, it is usually discovered accidentally on a routine radiographic study. They may be related with malformation, aplasia, malposition, delayed eruption of associated teeth and sometimes cystic changes. In these cases, Cone Beam Computed Tomography (CBCT) provides several advantages over conventional radiographs regarding diagnosis and treatment planning. Enucleation is the treatment of choice for these tumors and relapse is very uncommon. This paper highlights the etiology, classification, clinical/radiologic/histopathologic features and treatment options available for odontomas. Although much is known about odontomas but sometimes it presents as an enigma to a dental practitioner that needs to be unfolded with the use of radiography that acts as an indispensable tool in routine dental clinical examination.

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