title: Ameloblastic fibro-odontoma masquerading as odontoma.
abstract: Ameloblastic fibro-odontoma (AFO) is a rare, benign epithelial mixed odontogenic tumor. It occurs as an intraosseous lesion, generally asymptomatic and more prevalent in children and adolescent. AFO is found on radiographic evaluation of patients with unerupted or impacted teeth in many cases. Histological examination reveals a fibrous soft tissue, islands of odontogenic epithelium and a disordered mixture of dental tissues. The treatment modality in most cases involves conservative surgery with enucleation. We present a case of 13-year-old boy with a missing right central incisor, mimicking-like odontoma on radiograph but proved to be AFO and treated with enucleation with preservation of impacted tooth. There was no recurrence after one year of follow-up. This report discusses the clinical, radiographical, histological features and surgical assessment to preserve the impacted tooth associated with AFO.
authors: Department of Oral and Maxillofacial Pathology, SGT Dental College and Hospital, Gurgaon, Haryana, India. kdsnanda@gmail.com
authors: Kanwar Deep Singh
authors: KD
authors: Nanda
authors: Mohita
authors: M
authors: Marwaha
mesh_terms: D000293:Adolescent; D000565:Ameloblasts / Q000473:pathology; D001706:Biopsy; D003238:Connective Tissue / Q000473:pathology; D003937:Diagnosis, Differential; D004848:Epithelium / Q000473:pathology; D005347:Fibroblasts / Q000473:pathology; D006801:Humans; D007180:Incisor / Q000473:pathology; D008297:Male; D008441:Maxillary Neoplasms / Q000175:diagnosis*; D018333:Odontogenic Cyst, Calcifying / Q000175:diagnosis; D009808:Odontogenic Tumors / Q000175:diagnosis; D009810:Odontoma / Q000175:diagnosis*; D014095:Tooth, Impacted / Q000175:diagnosis