DOI: https://doi.org/10.36347/sjmcr.2026.v14i05.087

Pages: 1227-1230

Odontomas are the most common benign odontogenic tumors and are currently considered developmental hamartomatous lesions composed of enamel, dentin, cementum, and pulp tissue. Although generally asymptomatic, they are frequently associated with disturbances in tooth eruption and may occasionally attain large dimensions responsible for cortical expansion and facial asymmetry. We report the case of an 18‑year‑old patient presenting with a firm, non‑inflammatory left maxillary swelling associated with impacted retained teeth and carious deciduous teeth. Panoramic radiography and facial computed tomography demonstrated two well‑defined radiopaque maxillary lesions surrounded by a thin radiolucent halo, highly suggestive of complex odontoma. Histopathological examination confirmed the diagnosis. Surgical excision was successfully performed with favorable postoperative evolution. This case highlights the major contribution of imaging in diagnosis, differential diagnosis, and preoperative planning of unusual maxillary odontomas.