Ameloblastic fibro-odontoma, report of two cases

Ameloblastic fibro-odontoma (AFO) is a benign, slow growing, expansive epithelial odontogenic tumour. It is defined by the World Health Organization (WHO) as a neoplasm composed of proliferating odontogenic epithelium embedded in cellular inductive change and dental hard tissue formation.

The ameloblastic fibro-odontoma is a rare odontogenic tumor, it represent the 1–3% of Odontogenic Tumors, in most cases, it is an incidental finding, and his clinical manifestation are swelling or and alterated chronologic eruption. Most cases occur before 20 years of age, with the average age of diagnoses being 9 years. The tumor is found more often in males and the posterior mandible is affected 2, 4 times often than the entire maxilla.

Cases report: The first case is a 6-year female who was referred to oral and maxillofacial surgery unit from his pediatric dentist with maxillary tumor diagnosis. Second case is an 11-year male who was referred to an oral and maxillofacial surgery unit from his dentist with the diagnosis of mandibular tumor. Both cases where discovered on a routine exam. The CT-Scan evidence a radiolucent lesion that contains multiplied calcified material. Under general anesthesia, the tumors where enucleated, adequate planes of dissection where found, and the lesions were easily removed. Involved teeth were preserved. No recurrence was observed and evolution of remained teeth where favorable.

The main interest of this presentation is to specify that this lesion is a benign odontogenic tumour that require only a conservative treatment with a total remission of it.

Conflict of interest: None declared.

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Jan 27, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Ameloblastic fibro-odontoma, report of two cases
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