Odontoma in the dentistry is sometimes encountered. Odontoma is a kind of benign tumors associated with tooth development. This condition is usually associated with one or more teeth erupt. In the case of odontoma, ordinary begins with the disappearance of permanent teeth at the beginning of growth. After approval and cooperative child, it will be done odontoma retrieval operation. This is one of the ways in which to deal with complaints of child and family. This treatment requires the patient's cooperation, dentist team (pediatric dentist and oral surgery), and requires the use of local anesthesia as control pain during surgery. The advantage of local anesthesia is making available for the good cooperation between patient and dentist during treatment in oral cavity, with a faster recovery rate. This case report aims to show how odontoma case management in pediatric patients. The conclusions are precision odontoma case management will affect the success of treatment in pediatric patients, depending on the approach to pediatric patients, the severity of the case and operator skill.