This technique involves complete removal of the Odontoma sac and healing of the wound by primary intention. This is the most satisfactory method of treatment of an Odontoma. The surgical procedure for treatment of an Odontoma with enucleation includes the following steps:
A curette is used for enucleation of small Odontomas , while for larger Odontomas , the broad end of a periosteal elevator is preferred, which is placed inside the cavity pressing gently between the Odontomaic wall and bone, while the Odontoma is carefully grasped with forceps.
the impacted permanent tooth showed a fully formed root resulting in little spontaneous eruption potential , it was decided that an orthodontic device would have to be placed in order to guide the impacted tooth into its position .