Odontogenic tumors are heterogeneous group of lesions with diverse histopathological and clinical features. Ameloblastic fibro-dentinoma. The ameloblastic fibro-odontoma (AFO) is a rare mixed odontogenic tumor. .. It is also distinguishable from ameloblastic fibro-dentinoma not only because it. Peripheral ameloblastic fibro-dentinoma (AFD) is an extremely rare benign mixed odontogenic tumor. From a review of the English-language literature, to the.
|Published (Last):||23 March 2006|
|PDF File Size:||5.58 Mb|
|ePub File Size:||12.64 Mb|
|Price:||Free* [*Free Regsitration Required]|
Presence of tooth germ elements, e.
Ameloblastic fibrodentinoma, ameloblastic fibroma, odontogenic tumor. The dentist decided to refer the child to our hospital.
However, in view of the absence of mitotic figures and, secondly, in correlation to the clinical and radiographic presentation of the lesion, a diagnosis of aggressive atypical AFD was made. Here, we present one such a rare case of AFD occurring in a 5-year-old female patient.
Minute calcifications were evident within the lesion [ Figure 3 ]. dentinoka
Tooth bud attached to the follicle around the lesion was removed. J Bangladesh Coll Phys Surg ; Swelling involving the buccal vestibule extending from the region of the right maxillary central incisor to the fi rst premolar Click here to view. The patient gave an unclear history of exfoliation of the posterior tooth.
The IHC results showed that amelogenin was strongly expressed in enamel epithelium.
On the other hand, the compound odontoma is considered as a separate entity resulting from a locally hyperactivity of the dental lamina. Open in a separate window. Kannan Venugopal were responsible for the manuscript preparation.
Sivakumarb and Jyothi Issac c. Therefore, in place of planning a conservative treatment, a radical resection should be performed especially if the lesion is aggressive and presents with erosion and perforation of the cortical plate. There was no evidence of mucosal ulceration. In the malignant counterpart, it is only the mesenchymal component that undergoes malignant transformation while the epithelial component does tibro show any chance of cancer.
The patient is kept under regular follow-up. In support of this latter proposition, Slootweg[ 8 ] analyzed 33 mixed odontogenic tumors and found that the mean age of the patients with ameloblastic fibroodontoma was lower than dentnoma of the patients with AF. Ameloblastic fibrodentinoma involving anterior maxilla: Therefore, a radical resection followed by resection was the treatment of choice.
How to cite this article: There is a controversy in the literature regarding extraction or retaining the associated tooth bud in the case sentinoma AFO.
After the lesion had been locally debrided and irrigated with 0. Support Center Support Center. Case report A year-old girl was referred to oral and maxillofacial surgery department with an incidental radiological finding of radiopaque mass in the posterior region of maxilla.
The standard treatment for intraosseous AF and AFO is conservative surgery with enucleation and a close clinical follow-up [ 3 ]. Orthopantamograph revealed a well defined unilocular radiolucency extending from 72 to 85 Click here to view. The fibrous element varies from abundantly cellular to mature collagenous tissue, and primitive dental papilla-like appearance could not be found.
According to the recent World Health Organization classification of Odontogenic Tumours published in1 AFO belongs to the group of lesions with odontogenic epithelium with odontogenic ectomesenchyme, with or without hard tissue formation. A microscopic examination revealed a small island and cords of odontogenic epithelium in a loose and primitive-appearing connective tissue that resembled dental papilla. Kannan Venugopal was responsible for writing the article. A proper clinical, radiological and histological corelation should be established before considering a lesion as a benign or a malignant variant, and the treatment should be planned accordingly.
Fivro List Contemp Clin Dent v.
Aggressive atypical ameloblastic fibrodentinoma: Report of a case
A rare case report. This case report is the surgical treatment of an odontogenic tumour in the maxilla. Report of a case. Ameloblastic fibroma and related lesions: The two main complaints associated with AFO are swelling and failure of tooth eruption.