Extensive Adenomatoid Odontogenic Tumor of the Maxilla: A Case Report of Conservative Surgical Excision and Orthodontic Alignment of Impacted Canine

Abstract

The present report describe the surgical therapy, clinical course, orthodontic treatment and morphological characteristics of an adenomatoid odontogenic tumor in the maxilla of an 11-year-old patient. The cystic tumor filled the maxillary sinus and involved a tooth. Marsupialization was accompanied by partial enucleation and applied traction to the affected tooth by a fixed orthodontic appliance. Healing was uneventful and no local recurrence was observed during a 1-year period of follow-up control.

Adenomatoid odontogenic tumor: An updated analysis of the cases reported in the literature

“…Yoon and Kim described a case of AOT showing a supposed recurrence only 12 months after surgery. However, considering the slow growth potential of AOTs, and the fact that the lesion was initially submitted to marsupialization, this may represent a residual tumor due to inappropriate treatment, even though other cases were submitted to marsupialization followed by enucleation with complete resolution . None of these cases were, however, followed up for more than 39 months.…”

Adenomatoid odontogenic tumor: An outdated report

“…This type of combined therapy has since become popularized [3][4][5][6][7] and is now accepted worldwide. [18][19][20] The present single case report should merely serve to confirm and validate the above studies, one of which, previously unrecognized by the authors, was published with a comparable title in the AJO-DO. 4 In summary, the steady stream of reports on orthodontic-guided eruption of the tooth or teeth associated with AOT conclusively indicates that the treatment modality described by Erdur et al 1 is nothing new and in fact is rather standard.…”

Management of Adenomatoid Odontogenic Tumor in a Pediatric Patient with Preservation of an Associated Impacted Tooth: A Combined Surgical and Orthodontic Approach

“…After extensive search of the English literature, we came across very few cases where impacted teeth associated with AOTs were preserved and orthodontically managed [ 13 - 15 ]. Bonardi et al [ 14 ] presented a case where AOT caused impaction of a mandibular deciduous canine.…”

“…The tooth was extracted along with the lesion, releasing the path of eruption for the permanent tooth but no orthodontic intervention was performed. The other two cases were related to AOT involving the maxillary canine where the tooth was orthodontically extruded and aligned [ 13 , 15 ]. It is recommended that in cases where permanent teeth are associated with a lesion, preservation should only be considered in cases where there is still potential for eruption.…”