title: Ameloblastic fibro-odontoma.
abstract: Ameloblastic fibro-odontoma is a slow growing, benign, expansile epithelial odontogenic tumour with odontogenic mesenchyme, accounting for 0.3-1.7% of jaw tumours, signifying its rarity. The WHO defines it as "a neoplasm composed of proliferating odontogenic epithelium in a cellular ectomesenchymal tissue with varying degrees of inductive changes and dental hard tissue formation". We report a case of an 11-year-old girl who presented to the Department of Maxillo-Facial Medicine and Radiology for the evaluation of a swelling in the left posterior mandible. Her clinical chart and investigations unveiled it as ameloblastic fibro-odontoma. After a promising presurgical evaluation, the lesion was enucleated using an intraoral approach followed by osteoplasty. Osteogenesis was attained despite of any definitive techniques to promote bone regeneration. Immediate postoperative inter-maxillary fixation was performed to prevent pathological fractures for a period of 3 weeks. In an 8-month follow-up, no untoward complications were noticed.
authors.affiliation: Department of Oral Medicine and Radiology, SVS Institute of Dental Sciences, Mahabubnagar, Telangana, India.
authors.forename: Ramlal
authors.initials: R
authors.lastname: Gantala
authors.affiliation: Department of Oral Medicine and Radiology, SVS Institute of Dental Sciences, Mahabubnagar, Telangana, India.
authors.forename: Srikanth Goud
authors.initials: SG
authors.lastname: Gotoor
authors.affiliation: Department of Oral and Maxillo-Facial Surgery, SVS Institute of Dental Sciences, Mahabubnagar, Telangana, India.
authors.forename: R Vijaya
authors.initials: RV
authors.lastname: Kumar
authors.affiliation: Department of Oral and Maxillo-Facial Pathology, SVS Institute of Dental Sciences, Mahabubnagar, Telangana, India.
authors.forename: M S
authors.initials: MS
authors.lastname: Munisekhar
mesh_terms: D002648:Child; D004848:Epithelium / Q000473:pathology; D005260:Female; D006801:Humans; D008334:Mandible / Q000473:pathology* / Q000601:surgery; D008339:Mandibular Neoplasms / Q000473:pathology / Q000601:surgery*; D008648:Mesoderm / Q000473:pathology; D009808:Odontogenic Tumors / Q000601:surgery*; D009810:Odontoma / Q000601:surgery*