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Introduction: Ameloblastic fibro-odontoma (AFO) is a benign complex odontogenic tumor in the mandible in children and adolescents. Observation: A 9-year-old boy was referred to the dental department for the delayed eruption of tooth 26. He was asymptomatic, and on clinical examination, we found that tooth 26 was absent with tumefaction instead of the tooth. Cone beam computed tomography revealed an opaque mass in the root of 26. The management was surgical, and anatomopathological examination facilitated the diagnosis of AFO. Commentary: The upper maxillary localization of AFO is rare and is not often a practitioner's first thought. Surgical excision of the tumor is essential based on the histological diagnosis. The patient must be followed up after 3 months and regularly until the eruption of the affected tooth. Conclusion: AFO is one of the differential diagnoses to be considered when a young patient presents with firm swelling with delayed eruption of the opposing tooth, especially since it has good prognosis and is easy to manage.
Introduction: Ameloblastic fibro-odontoma (AFO) is a benign complex odontogenic tumor in the mandible in children and adolescents. Observation: A 9-year-old boy was referred to the dental department for the delayed eruption of tooth 26. He was asymptomatic, and on clinical examination, we found that tooth 26 was absent with tumefaction instead of the tooth. Cone beam computed tomography revealed an opaque mass in the root of 26. The management was surgical, and anatomopathological examination facilitated the diagnosis of AFO. Commentary: The upper maxillary localization of AFO is rare and is not often a practitioner's first thought. Surgical excision of the tumor is essential based on the histological diagnosis. The patient must be followed up after 3 months and regularly until the eruption of the affected tooth. Conclusion: AFO is one of the differential diagnoses to be considered when a young patient presents with firm swelling with delayed eruption of the opposing tooth, especially since it has good prognosis and is easy to manage.
O aparecimento do fibro-odontoma ameloblástico é incomum, representando apenas de 1% a 3% dos tumores odontogênicos. Além disso, ocorre principalmente em crianças e jovens, com mais de 90% dos casos nas duas primeiras décadas de vida, com predileção para o sexo masculino. A região posterior de mandíbula é a mais acometida, seguida pela região posterior de maxila, tendo em vista seu caráter assintomático, normalmente o FOA é diagnosticado durante radiografias panorâmicas de rotina, ou quando se pesquisa a origem do atraso de erupção dos dentes, histopatológicamente a lesão se parece com o esmalte ou órgão da polpa dentária, contendo fragmentos de tecido mineralizado imaturo, como esmalte, dentina e cemento e o tratamento de escolha é a cirurgia conservadora, como a enucleação e curetagem. O objetivo deste estudo é relatar um caso de fibro-odontoma ameloblástico (FOA) em um paciente de seis anos, bem como suas manifestações orofaciais, achados radiográficos, relato histopatológico, diagnóstico diferencial para o adequado tratamento e correlacioná-lo com a literatura a partir de uma revisão narrativa/crítica através do acesso às principais bases de dados, a saber; PubMed (Medline), Web Of Science, Scopus e Lilacs utilizando os termos do vocabulário controlado do DeCS.
Objetivo: Presentar el caso de una patología poco común como es el fibro-odontoma ameloblástico (FOA), su manejo interdisciplinario y su resolución quirúrgica. Caso clínico: En este reporte de caso describimos un FOA en una paciente de 10 años, ubicado en el cuerpo mandibular derecho, asociado a las raíces de molares temporales que generó la retención de premolares. Se realizó la enucleación completa de la lesión, exodoncia de los temporales asociados y se decidió mantener los dientes definitivos y esperar su erupción espontánea. Es importante considerar la posibilidad de mantener el diente retenido si este no dificulta la exéresis de la lesión, ya sea para su erupción espontánea o rescate ortodóntico, lo cual es posible observar en este caso en el que se aprecia una evolución intraósea favorable. Con respecto al seguimiento, se recomienda el control a largo plazo con el fin de controlar la erupción del órgano dentario o la aparición de posibles recidivas.
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