Ameloblastic Fibroodontoma: Uncommon Case Presentation in a 6-Year-Old Child with Review of the Literature

Abstract

Ameloblastic fibroodontoma is a benign mixed odontogenic neoplasm considered in patients with asymptomatic swelling and unerupted teeth that exhibit histologic features between ameloblastic fibroma and complex odontoma. Radiographically, this lesion appears as radiolucency admixed with focal radio opaque masses of irregular shapes and sizes. This lesion is confirmed by the presence of proliferating odontogenic epithelium, ectomesenchyme, and dental hard tissue formation on pathological analysis supplementing clinical and radiographic findings. As this tumour is less commonly seen in routine clinical practice, ameloblastic fibroodontoma with detailed orofacial features and periodic approach to its diagnosis is discussed. This paper reports a case of ameloblastic fibroodontoma of the mandible in a 6-year-old male patient with an uncommon case presentation and review of the literature.

Ameloblastic fibro-odontoma in a child patient: case report and literature review

“…In the present study, including the reported case, there have been reports of tumors that caused displacement of adjacent teeth (Kalra et al, 2018;Mashhadiabba et al, 2017;Santos et al, 2011), and other studies demonstrated lesions associated to an unerupted tooth crown (Abdulla et al, 2017;Cavalcante et al, 2009;Kalra et al, 2018;Mashhadiabba et al, 2017;H. A. R. Pontes et al, 2012), corroborating previous studies (Manor et al, 2012).…”

“…Both are above the average described in the literature. The other reports do not present values corresponding to the lesion dimension (Abdulla et al, 2017;Cavalcante et al, 2009;Kalra et al, 2018;Mashhadiabba et al, 2017;H. A. R. Pontes et al, 2012;Reis et al, 2007;Santos et al, 2011) The expansion of cortical plates is usually slow, without related painful symptomatology.…”

“…In some situations, surgical enucleation of AFO and maintenance of any involved teeth are indicated. Alike the present case, other authors chose to remove the involved teeth (Abdulla et al, 2017;Cavalcante et al, 2009;Kalra et al, 2018;Pontes et al, 2012). This is indicated in cases of extensive AFOs presenting teeth in regions with difficult access, since the tooth maintenance may impair the complete removal of neoplastic tissue, with persistence of tumor cells that may cause relapse (Chang et al, 2002;Lucio et al, 2013).…”