A peculiar case of odontoma and impacted mandibular canine

: Odontomas account for a significant proportion of benign odontogenic tumors, often found incidentally due to their asymptomatic nature. This case report details a unique presentation of a mandibular compound odontoma in a 32-year-old male, resulting in the impaction of the mandibular right canine (tooth 4.3) and retention of the primary canine (tooth 8.3). Radiographic evaluation, including cone-beam computed tomography (CBCT), showed a radiopaque mixed lesion near the mandibular canal and the roots of adjacent teeth. Surgical management included the excision of the odontoma and extraction of the retained deciduous canine under local anesthesia, using rotary instruments to preserve adjacent structures. Postoperative healing was uneventful, with histopathological analysis confirming the lesion as a compound odontoma. This case underscores the significance of advanced imaging techniques in diagnosing and managing odontogenic lesions. It emphasizes the necessity for further research into alternative surgical methods and genetic factors influencing odontoma development.