Developing Complex Odontome–an Enigmatic Entity: A Case Report

Buddha Harika  Varshita; Divya  Uppala; Sreekanth  Kotina; YS  Raviteja; Hyandavi  Balla; U.D.N.   Sreevalli

doi:10.18502/jcr.v12i2.19974

Buddha Harika Varshita Department of Oral Pathology and Microbiology, GITAM Dental College and Hospital, Visakhapatnam, Andhra Pradesh, India.
Divya Uppala Department of Oral Pathology and Microbiology, GITAM Dental College and Hospital, Visakhapatnam, Andhra Pradesh, India.
Sreekanth Kotina Department of Oral Pathology and Microbiology, GITAM Dental College and Hospital, Visakhapatnam, Andhra Pradesh, India.
YS Raviteja Department of Oral Pathology and Microbiology, GITAM Dental College and Hospital, Visakhapatnam, Andhra Pradesh, India.
Hyandavi Balla Department of Oral Pathology and Microbiology, GITAM Dental College and Hospital, Visakhapatnam, Andhra Pradesh, India.
U.D.N. Sreevalli Department of Oral Pathology and Microbiology, GITAM Dental College and Hospital, Visakhapatnam, Andhra Pradesh, India.

DOI: https://doi.org/10.18502/jcr.v12i2.19974

Keywords: WHO; Odontogenic; Inductive changes; Ameloblast.

Abstract

A benign mixed odontogenic lesion, with features of ameloblastic fibro odontoma previously allocated in the WHO 2005 classification, and presently removed in the subsequent WHO 2017 and 2022 classifications, shows certain changes that result in the formation of enamel and dentin, suggestive of a developing complex odontoma rather than ameloblastic fibro odontoma. It commonly affects individuals in the first and second decades of life. The present case exhibits histopathological features which show enamel and dentin formation and strands of ameloblast-like cells with an inductive process. The histopathology points to a hallmark diagnosis of a “developing” complex odontoma.