Abstract
Objective: To report a case of composite odontoma located in the anterior region of the mandible. Case details: An 18-year-old male patient attended the buccomaxillofacial surgery and traumatology service referred by the orthodontist. On clinical examination, the absence of elements 42 and 43 was observed, with bulging in the anterior region of the mandible. On imaging studies, it was observed that elements 42 and 43 were included in association with hyperdense lesions similar to teeth. The patient did not report any symptoms. Under general anesthesia, nasotracheal intubation, an enveloped incision was made, with total mucoperiosteal detachment to expose the entire surgical region. Osteotomy was performed to remove the lesions and odontossection to remove the included elements. At the end of the procedure, an absorbable hemostatic membrane was used. Due to the characteristic clinical and radiographic aspect, a diagnosis of compound odontoma was made. The patient received antibiotic therapy, anti-inflammatory and analgesic. Final considerations: Composite odont oma is a benign malformation, with slow evolution. Its treatment consists of surgical excision, in which the complete removal and curettage of the lesion must be performed, in order to promote early rehabilitation and / or prevent future sequelae.