Odontogenic tumors normally occur within the tooth-bearing areas of the jaws. When they involve the dentogingival complex of adjacent teeth, their removal may become the responsibility of the periodontist. The odontomas are the most common of the odontogenic solid tumors and will be encountered most often by the periodontist. A review of the odontomas is presented followed by a case report and a discussion of the periodontal considerations in their removal. Emphasis is placed on following standard hygiene procedures before and after any periodontal surgery along with conservative removal of the lesion to preserve the periodontal attachment around the adjacent teeth.