Management of Impacted Mandibular Lower Canine Associated with Odontoma: Interdisciplinary Approach

Odontomas are common benign calcified tumors and the most prevalent type of odontogenic tumors. They can be categorized into complex and compound odontomas. Typically, odontomas do not cause any symptoms and are often incidentally discovered. However, in certain instances, they may present with signs and symptoms. The management of odontomas involves early detection, histopathological examination, and surgical removal of the affected tissues. This case report presents a 12-year-old female patient with delayed eruption of the lower right permanent canine in comparison to the corresponding tooth on the left side. Radiographic examination revealed a radiopaque image surrounded by a radiolucent area in the right buccal segment between the right lateral incisor and right first premolar. The clinical diagnosis was determined to be a compound odontoma. Interestingly, the radiograph also showed a completely developed impacted right mandibular canine situated horizontally near the lower border of the mandible, beneath the odontoma. This article highlights a case of impacted permanent canine associated with an odontoma and provides a brief overview of odontomas and impacted canines. It emphasizes the interdisciplinary approach between an orthodontist and an oral surgeon for the successful management of such cases. Early diagnosis and proper coordination between these specialists are crucial in achieving optimal outcomes for the patient.