Odontogenic tumors are heterogeneous group of lesions with diverse histopathological and clinical features. Ameloblastic fibro-dentinoma. The ameloblastic fibro-odontoma (AFO) is a rare mixed odontogenic tumor. .. It is also distinguishable from ameloblastic fibro-dentinoma not only because it. Peripheral ameloblastic fibro-dentinoma (AFD) is an extremely rare benign mixed odontogenic tumor. From a review of the English-language literature, to the.

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None, Conflict of Interest: A clinicopathologic study with reference to their nature and interrelationship. Discussion Ameloblastic fibro-odontoma AFO is an uncommon mixed odontogenic tumour. Mixed odontogenic tumours and odontomas. Review of the literature and presentation of new cases of odontomas.

However, a case with an irregular border and expansion and perforation of the cortexes should be interpreted with caution and the possibility of malignant odontogenic tumor should be suspected. Kannan Venugopal was responsible for writing the article. There is a controversy in the literature regarding extraction or retaining the associated tooth bud in the case of AFO.

None, Conflict of Interest: A rare case report. But, in the revised Ammeloblastic classification of odontogenic tumors, both tumors have been considered as distinct entities. Recurrence of an ameloblastic fibro-odontoma in a 9-year-old boy.

Metastasis is not common and fatal cases have usually been associated with uncontrollable local infiltration following numerous recurrence. Giraddi GB, Garg V. The peripheral types of mixed odontogenic tumors are much rarer than their intraosseous counterparts [ 1 — 6 ].


Aggressive atypical ameloblastic fibrodentinoma: Report of a case

Khalam for review of literature. We describe a peripheral ameloblastic fibro-odontoma in the maxillary gingiva of a 3-year-old girl.

A small, white, tooth-like substance existed on the facial gingiva of this tooth. In some of the cases previously diagnosed as AFD, dentine matrix or dentinoid tissue is an area of hyalinization around the epithelial component, and some workers have suggested that hyalinized material may not represent dentine formation.

A fibrillar pattern reminiscent of dentinal tubules was noted in the focal area as marked [ Figure 4 ].

Aggressive atypical ameloblastic fibrodentinoma: Report of a case

Odontogenic cysts and tumors. Most studies suggest that conservative dentjnoma of ameloblzstic tumor with minimal but adequate margins is the treatment of choice [ 46 ]. Here, we present one such a rare case of AFD occurring in a 5-year-old female patient. The present case report highlights the clinical, radiological and histological presentation of AFD in order to raise awareness for the earlier diagnosis and precise management of this rare pathological entity.

There was no recurrence after the 1-year follow-up. National Center for Biotechnology InformationU.

After we had obtained the consent of the parents, we removed the mass using surgical scalpels; bleeding was stopped using dentinoka in the operating room.


Depending on the histological diagnosis and aggressiveness of the xentinoma, a radical dentiboma was planned in order to prevent further chances of recurrence and malignant transformation that are usually seen with recurrence of the lesion following inadequate removal. J Oral Pathol Med. Presence of tooth germ elements, e. Under general anaesthesia, the lesion was enucleated and the permanent right upper second molar tooth bud ameloblatsic.

Nevertheless, final diagnosis is made according to microscopic evaluation demonstrating islands of odontogenic epithelium embedded in cell-rich ectomesenchyme similar to dental papilla. Ameloblastic fibro-odontoma is defined by the World Health Organization as a neoplasm consisting of odontogenic ectomesenchyme resembling the dental papilla, epithelial strands and nest resembling dental lamina and enamel organ conjunction with the presence of dentine and enamel.

The dentist performed endodontic treatment for the central incisor because he found caries and speculated that the gingival swelling had an endodontic origin. The age at the time of diagnosis falls in the first two decades of life.