Ameloblastic Fibro-Odontoma in a 4-Year-Old Boy
Open Access
- 5 March 2016
- journal article
- Published by Briefland in Iranian Journal of Pediatrics
- Vol. In Press (InPress), e3124
- https://doi.org/10.5812/ijp.3124
Abstract
Introduction: Ameloblastic fibro-odontoma (AFO) is defined as a benign odontogenic tumor with slow growing behavior. Its prevalence is rare. AFO is characterized by histologic features of ameloblastic fibroma (AF) with the formation of enamel and dentine. Case Presentation: This is a case report of AFO accompanied with a number of impacted deciduous teeth and its management in a 4-year old boy. Examination of oral cavity revealed an extensive swelling from midline to left deciduous maxillary first molar, covered with normal mucosa. Radiographic examination showed a well-defined mixed radiolucent-radiopaque lesion that extended horizontally from midline to mesial border of the left maxillary primary first molar and vertically from alveolar crest to the floor of nose. The differential diagnosis was odontoma (ameloblastic fibro-odontoma, complex odontoma). Surgical enucleation and curettage was performed under general anesthesia. Histopathologic sections show bone trabeculae in marrow spaces. There was myxoid matrix in some spaces which contained odontogenic epithelial cells. These findings led to diagnosis of AFO. No sign of recurrence has been observed during the 12-month follow-up period. Conclusion: Although AFO is a rare tumor, it is more prevalent in childrenʼs jaw. Conservative surgical treatment allowed the normal development of teeth. Keywords: Ameloblastic Fibro-Odontoma; Odontogenic Tumor; OdontomaKeywords
This publication has 15 references indexed in Scilit:
- A case of ameloblastic fibro-odontoma accompanied with a number of impacted teethJournal of Oral and Maxillofacial Surgery, Medicine, and Pathology, 2015
- Ameloblastic Fibro–OdontomaHead and Neck Pathology, 2013
- Clinical and Radiological Profile of Ameloblastic Fibro-Odontoma: an Update on an Uncommon Odontogenic Tumor Based on a Critical Analysis of 114 CasesHead and Neck Pathology, 2012
- Ameloblastic fibro-odontoma. Case report and review of the literatureJournal of Cranio-Maxillofacial Surgery, 2010
- Ameloblastic fibro-odontoma: A conservative surgical approachMedicina Oral Patología Oral y Cirugia Bucal, 2009
- Ameloblastic fibro-odontoma: expansile mixed radiolucent lesion in the posterior maxilla: a case reportOral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 2008
- Ameloblastic fibroma: A review of published studies with special reference to its nature and biological behaviorOral Oncology, 2007
- Mixed Odontogenic Tumors in Children and AdolescentsThe Journal of Craniofacial Surgery, 2007
- Ameloblastic fibroma and related lesions: a clinicopathologic study with reference to their nature and interrelationshipJournal of Oral Pathology & Medicine, 2005
- Mixed odontogenic tumours and odontomas. Considerations on interrelationship. Review of the literature and presentation of 134 new cases of odontomasOral Oncology, 1997