Calcifying epithelial odontogenic tumor or compound odontoma: a case report in the left maxilla of a child with panoramic and CBCT imaging

  • Mohammad Yusuf Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Islamic University of Sultan Agung, Semarang, Indonesia 50112
  • Ali Jawad Faculty of Dentistry, Islamic University of Sultan Agung, Semarang, Indonesia 50112
  • Indah Widyaning Tyas Faculty of Dentistry, Islamic University of Sultan Agung, Semarang, Indonesia 50112

Abstract

Objectives: The aim of this case report is to describes the importance of advanced imaging such as CBCT 3D to make diagnosis rather than just a panoramic radiography.
Case Report: A 12-year-old girl patient came for the third time with her parents to the radiology installation after being referred from the oral surgery clinic at RSIGM SA due to complaints of swelling on the right side of the face that had not healed. The patient was initially diagnosed as a calcifying epithelial odontogenic tumor This is based on hematological and histopathological examinations. At the second visit patient had marsupialization and panoramic examination performed. The panoramic results show that the lesion is still developing as seen from the change in the distance between the lesion to the surrounding tissue. The image of the radiopaque lesion is surrounded by radiolucency in the maxillary region from the apical of teeth 53 to 17, the lesion is multiple, unilateral, and irregular with ill-defined boundaries so that the appropriate radiodiagnosis is Calcifying Epithelial Odontogenic Tumor before doing CBCT 3D imaging on third visit.
Conclusion: CBCT 3D was more accurate and reliable  in diagnosing type of odontogenic tumor.

Author Biography

Mohammad Yusuf, Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Islamic University of Sultan Agung, Semarang, Indonesia 50112
Staff

References

Yusuf M, Indrawati SV. Multiple compound odontomas in various regions of the maxilla: a rare case report. Odonto Dent J. 2023;10(1):54–60.
Baral R, Bajracharya D, Ojha B, Karna G. Calcifying epithelial odontogenic tumor: a case report. J Nepal Med Assoc. 2020;58(223):174–7.
Zouaghi H, Garma M, Slim A, Chokri A, Njima M, Selmi J. Noncalcifying type of calcifying epithelial odontogenic tumor: a rare case report and literature review. Clin Case Rep. 2023;11(8):e7796.
Abdul M, Pragati K, Yusuf C. Compound composite odontoma and its management. Case Rep Dent. 2014;2014:107089.
Gedik R, Müftüoglu S. Compound odontoma: differential diagnosis and review of the literature. West Indian Med J. 2014;63(7):793–5.
Soluk-Tekkeşin M, Wright JM. The World Health Organization classification of odontogenic lesions: a summary of the changes of the 2017 (4th) edition. Turk Patoloji Derg. 2018;34(1):1–8.
Ganatra S, Castro H, Toporowski B, Hohn F, Peters E. Non-calcifying Langerhans cell–associated epithelial odontogenic tumor. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;116(6):e506–7.
Gupta S, Khandekar S, Bhargava D, et al. Compound and complex odontomes: case series with surgical enucleation. J Pharm Bioallied Sci. 2022;14(Suppl 1):S208–13.
Ridsdale L. Essentials of Dental Radiography and Radiology. 7th ed. Vol 215. 2020.
Mallya S, Lam E, eds. White and Pharoah’s Oral Radiology. Elsevier Health Sciences; 2018.
Scarfe W, Angelopoulos C. Maxillofacial Cone Beam Computed Tomography. Springer; 2018.
Mazur M, Di Giorgio G, Ndokaj A, et al. Characteristics, diagnosis and treatment of compound odontoma associated with impacted teeth. Children (Basel). 2022;9(10):1509.
Pillai KG. Oral and Maxillofacial Radiology: Basic Principles and Interpretation. Jaypee Brothers; 2015.
Speight PM. Shear’s Cysts of the Oral and Maxillofacial Regions. John Wiley & Sons; 2022.
Farman AG. Panoramic Radiology: Seminars on Maxillofacial Imaging and Interpretation. Springer; 2007.
Published
2025-06-09
How to Cite
YUSUF, Mohammad; JAWAD, Ali; TYAS, Indah Widyaning. Calcifying epithelial odontogenic tumor or compound odontoma: a case report in the left maxilla of a child with panoramic and CBCT imaging. Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 9, n. 1, p. 55-60, june 2025. ISSN 2686-1321. Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/1258>. Date accessed: 18 june 2025. doi: https://doi.org/10.32793/jrdi.v9i1.1258.

Most read articles by the same author(s)

Obs.: This plugin requires at least one statistics/report plugin to be enabled. If your statistics plugins provide more than one metric then please also select a main metric on the admin's site settings page and/or on the journal manager's settings pages.