Abstract The objective of this report is to illustrate the influence of restricted-field-of-view cone-beam computed tomography (CBCT) on diagnostic and surgical planning in instances with compound odontoma. Two cases were reported. The case one is a 17-year-old male with an incidentally discovered anterior maxillary radiopaque mass comprising denticles, and the case two is regarding a 35-year-old female with a right mandibular parasymphysis lesion displacing tooth 4. The radiographic imaging was obtained with the Planmeca ProMax ® three-dimensional (3D) mid limited field of view, in which CBCT delineated the margins of the lesions and the 3D proximity to adjacent roots. This facilitated the implementation of a conservative palatal approach with restricted ostectomy in Case 1 and validated the necessity for surgical extraction in Case 2. Following enucleation (with extraction #43 in Case 2), the administration of antibiotics/nonsteroidal anti-inflammatory drugs (including a brief steroid taper and chlorhexidine in Case 2), together with consistent wound care, resulted in minimal complications during the early healing phase and no recurrence observed in the short-term follow-up. CBCT should be utilized solely when the outcomes influence management, and the acquisition settings must be explicitly documented. In compound odontoma, CBCT enables minimally invasive access and safe enucleation by clarifying spatial linkages; structured postoperative care yields enhanced early outcomes, while continuous monitoring is advised for the long term.
Assiri et al. (Tue,) studied this question.