Ameloblastic fibro-odontoma: a conservative surgical approach.
Ameloblastic fibro-odontoma (AFO) is a rare benign mixed odontogenic tumor that occurs predominantly in children and young adults with no gender predilection and anatomic site, usually appearing as a painless swelling. We present a case of an 11-year-old non-Caucasian boy complaining of large painless isolated swelling in the right mandibular body. Intraoral examination revealed a tumoral mass with cortical bone expansion, covered by normal mucosa measuring 4.0 x 2.0 cm, located on both the lingual and buccal surfaces of the right body of the mandible, with displacement of the neighboring teeth. Panoramic radiography revealed an expansile, radiolucent and well circumscribed lesion with scattered foci of calcified material, which contained several radiopaque bodies of varying sizes and shapes. The provisional diagnoses were odontoma or AFO/ Biopsy confirmed AFO. The patient was treated with conservative surgery. After two years of follow-up, no alteration or recurrence was detected.
Nascimento
Jairo-Evangelista
JE
Stomatology Clinic, School of Dentistry, State University of Montes Claros, Montes Claros, Minas Gerais, Brazil.
Araújo
Leonardo-de Jesus
LD
Almeida
Luciana-Yamamoto de
LY
De Paula
Alfredo-Maurício
AM
Bonan
Paulo-Rogério
PR
D002648:Child; D006801:Humans; D008297:Male; D008339:Mandibular Neoplasms / Q000601:surgery*; D009810:Odontoma / Q000601:surgery*; D019647:Oral Surgical Procedures