Endoscopic removal of a mandibular ameloblastic fibro-odontoma

Revue de stomatologie et de chirurgie maxillo-faciale
A FrancoA Croue

Abstract

Ameloblastic fibro-odontoma is a rare mixed odontogenic tumor. It occurs predominantly in children and young adults. This article reports a case of ameloblastic fibro-odontoma affecting a young boy who was treated by endoscopy. An 11-month-old child was admitted for a right mandibular rapidly growing mass. Computed tomography confirmed the presence of a large radiopaque mass on the right mandible containing compartmented tooth-germs. A biopsy exeresis was performed to completely remove the tumor with an endonasal endoscope. The histological diagnosis was an ameloblastic fibro-odontoma. We performed the enucleation with a nasal endoscope to make sure that the entire lesion had been removed. Bone resection was minimal which should decrease the risk of growth disorders. The ameloblastic fibro-odontoma is a rare mixed odontogenic tumor usually asymptomatic and slow growing. Histopathology proves the diagnosis. The treatment is curettage, preserving the adjacent teeth.

References

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Jul 1, 1993·European Journal of Cancer. Part B, Oral Oncology·I R KramerM Shear
Mar 24, 1998·Oral Oncology·G F FaviaA Piattelli
Jan 16, 2008·Journal of Oral Science·Sílvia R A ReisAlexandre R do Espírito Santo

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Citations

Apr 29, 2014·Case Reports in Dentistry·Víctor BeltránWilfried Engelke
Feb 6, 2017·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Bruno Ramos Chrcanovic, Ricardo Santiago Gomez

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