In childhood and adolescence, odontoma usually cause teeth impaction. The prevalence of odontoma was higher in permanent dentition than in primary dentition. The treatment of odontoma caused permanent impacted teeth could be observation only or orthodontic intervention after totally tumor excision. If odontoma caused primary teeth impaction, teeth were usually extracted. It should be very careful if the tumor haven't been totally removed, the tumor might become recurrence. In our case reports, there are two different cases of odontoma combined primary tooth impaction and permanent tooth impaction.