Two sides of a coin

Abstract

This study aims to report two distinct cases of adenomatoid odontogenic tumor (AOT) with contrasting presentations. The first case involved a 12-year-old female patient with the presence of AOT in the posterior mandible extending into the mandibular ramus up till the coronoid process which is a rare reported site for AOT and the second case is of a 19-year-old male patient with the tumor in the anterior maxilla with an impacted central incisor. Both cases were successfully managed via surgical enucleation and are under regular follow-ups without any complication. The contrasting nature of the two clinical presentations with the same pathologic entity is reported here. Though AOT has been rarely reported extending into the mandibular ramus, a maxillofacial surgeon should be more circumspect of this pathology while dealing with benign swellings of the mandibular posterior region.

Estado Da Arte Do Tumor Odontogênico Adenomatóide Com Ênfase Para Seus Achados Clínico Patológicos E Imaginológicos

“…Grande parte dos tumores odontogênicos adenomatóides são de tamanho relativamente pequeno, muito raramente excedendo três centímetros de comprimento, apesar de já terem sido relatadas lesões com um tamanho consideravelmente grande, de consistência dura e fixa ao osso subjacente. Graças ao fato desta lesão apresentar tamanho pequeno, combinado com a falta de sintomas, sua descoberta costuma acontecer a partir de exames de rotina ou devido à falta de um dente no arco (Perez et al, 2016;Khan et al, 2022).…”