Hyperdontia involving the premolar teeth can be single or multiple or even related to a syndrome. These are frequently encountered in permanent dentition, but their occurrence has ranged between 0.09 to 0.64% in the general population. These are rarely found between the first and second premolars.

Odontomas are common occurrences in the oral cavity and can be classified as complex or compound. Erupted peripheral compound odontomas are rare and are present in the extra-osseous soft tissues. In this case the odontoma led to the impaction of permanent teeth for which removal of the lesion was advised.