Incidental findings of suspect multiple odontomas and impacted supernumerary teeth on panoramic radiograph: a case report

  • Tazkia Munasyifa Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia 40132
  • Farina Pramanik Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia 40132 http://orcid.org/0000-0003-4590-4751

Abstract

Objectives: This case report aimed to describe radiographic features of suspect multiple odontomas in an incidental case.
Case Report: A 32-year-old man non syndromic patient was referred to the Dental Radiology Unit of RSGM Unpad for panoramic examination. He was complaining about a pain in lower mandible and was clinically diagnosed with an impacted 48. Radiographic findings appeared irregular radiopaque with radiodensity that resembles enamel and dentin, surrounded by a thin radiolucent capsule in the left and right regions body of the mandible. Additionally, there is radiopaque that resembles a para premolar supernumerary tooth, inferior from the lesion to the mandibular cortical bone.
Conclusion: In this case, irregular radiopaque areas with radiodensity that resembles enamel and dentin, surrounded by thin radiolucent capsules, were found as the radiographic features that led the radiodiagnosis of odontomas.

Author Biographies

Tazkia Munasyifa, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia 40132
Dentomaxillofacial Radiology Residency Program
Farina Pramanik, Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia 40132
Staff

References

Mallya SM, Lam EWN. White and Pharoah’s Oral Radiology: Principles and Interpretation. 8th ed. St. Louis: Elsevier; 2019.
Sun L, Sun Z, Ma X. Multiple complex odontoma of the maxilla and the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;120(1):e11–6.
Pippi R. Odontomas and supernumerary teeth: Is there a common origin? Int J Med Sci. 2014;11(12):1282–97.
Soluk-Tekkesin M, Wright JM. The World Health Organization Classification of Odontogenic Lesions: A Summary of the Changes of the 2022 (5th Edition). Turk Patoloji Derg. 2022;38(2):168–84.
Vasanthi V, Annasamy RK, Rajkumar K, Velavan K, Krishnan V. Composite odontoma: An enigmatic impeder to the permanent teeth – Report of two cases with emphasis on molecular pathogenesis. Oral Oncol Rep. 2024;10:100155.
Isola G, Cicciù M, Fiorillo L, Matarese G. Association between odontoma and impacted teeth. J Craniofac Surg. 2017;28(3):755–8.
Peranovic V, Noffke CEE. Clinical and radiological features of 90 odontomas diagnosed in the Oral health centre at Sefako Makgatho Health Sciences University. SADJ. 2016; 71(10): 489-92.
Gürler G, Delilbaşı Ç, Delilbaşı E. Investigation of impacted supernumerary teeth: a cone beam computed tomography (CBCT) study. J Istanb Univ Fac Dent. 2017; 26.
Patekar D, Kheur S, Gupta AA. Odontoma - A brief overview. Journal of Oral Disease Marker. 2018; 2(1): 23-5.
Abdul M, Pragati K, Yusuf C. Compound Composite Odontoma and Its Management. Case Rep Dent. 2014; 1-4 .
Torul D, Keskin M, Gun S, Odabasi D. Complex-compound odontoma: A rare clinical presentation. Odovtos - International Journal of Dental Sciences. 2020; 22(1): 23–8.
Natalia A, Azhari A, Pramanik F. Panoramic radiography features of complex odontoma in impacted teeth: a scoping review. J Radiol Dentomaxillofac Indones (JRDI). 2022;6(3):125.
Asykarie INA, Ramadhan FR, Firman RN. Multiple hypercementosis – a case report of an incidental finding on panoramic radiograph. JRDI. 2022;6(1):17–20.
Ćabov T, Nola Fuchs P, Zulijani A, Ćabov Ercegović L, Marelić S. Odontomas: pediatric case report and review of the literature. Acta Clin Croat. 2021;60(1):146–52.
Andrei OC, Mărgărit R, Tănăsescu LA, Dăguci L, Farcaşiu C, Bătăiosu M, et al. A rare case of mandibulary parapremolars in siblings: case report and literature review. Rom J Morphol Embryol. 2017;58(4):1485–90.
Guo J, Jumatai S, Dai Y, Sun J, Gong Z. A cone-beam computed tomography study of supernumerary teeth. Digit Med. 2023 Jun;9(2).
Panda S, Gupta M. Delayed eruption due to concurrent occurrence of compound odontoma and supernumerary tooth in the maxillary anterior region: a rare case report. J Contemp Dent. 2018 Dec;8(3):144–7.
Mazur M, Di Giorgio G, Ndokaj A, Jedliński M, Corridore D, Marasca B, et al. Characteristics, diagnosis and treatment of compound odontoma associated with impacted teeth. Children. 2022;9:100155.
Yordanova-Kostova GR, Gurgurova GD. Compound odontoma in canine region and its radiological evidence: case reports. Open Dent J. 2023 Sep 25;17(1).
Published
2025-06-09
How to Cite
MUNASYIFA, Tazkia; PRAMANIK, Farina. Incidental findings of suspect multiple odontomas and impacted supernumerary teeth on panoramic radiograph: a case report. Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 9, n. 1, p. 61-64, june 2025. ISSN 2686-1321. Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/1285>. Date accessed: 18 june 2025. doi: https://doi.org/10.32793/jrdi.v9i1.1285.

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.