Peripheral ameloblastic fibro-odontoma or peripheral developing complex odontoma: report of a case

Abstract

BACKGROUND. Peripheral (extraosseous) odontogenic tumors are rare. CASE REPORT. This report describes a case which illustrates the clinical and histopathological features of a lesion in an 8-year-old, healthy Caucasian girl that on purely morphological grounds would seem to be an ameloblastic fibro-odontoma, but may represent a case of a peripheral developing complex odontoma. CONCLUSION. Conservative surgical enucleation of the lesion was followed by unbcomplicated healing and no recurrence was seen.

Ameloblastic fibro-odontoma located in the maxilla of a 3-year-old girl

“…A more aggressive treatment as described by Girradi concerning fibrodentinoma [20] is not recommended because of increased morbidity. Especially in the mandible, the risk of a pathological fracture is very high when performing a marginal resection and thus cannot be supported when compared to a more conservative procedure of tumor tissue removal [14]. At this age involvement of primary teeth is the rule rather than an exception.…”

“…Even though there seems to be a clear definition after the WHO Classification of 2005 concerning AF, AFD and AFO, there are still many controversies regarding the etiology, histology, therapy and prospective outlook [4,14]. Our case report aims to further the discussion and classification of such tumors by presenting a patient with a large ameloblastic fibro-odontoma involving an unusual location, namely the maxillary sinus.…”

Peripheral Developing Odontoma or Peripheral Ameloblastic Fibro-Odontoma Erupting to Oral Cavity Case Report

“…Authors have described the appearance of odontomas of complex type towards buccal cavity (Kaur et al, 2012), and peripheral ameloblastic fibromas (Reibel et al, 2011). However, some authors consider that the age of the patient is of importance and mention that from 22 years should be classified as a neoplasia not a hamartoma (Buchner & Vered, 2013).…”

Erupted rootless type III dense in dente (dilated odontoma) masquerading as peripheral gingival pathosis

“…The clinicopathologic presentation as a gingival process invited confusion with a rare peripheral odontoma. After our review in 2008 7 , we found more reports of the peripheral variety [8][9][10][11][12][13][14] . The paucity of information makes it difficult to conclude that with further differentiation, a peripheral developing odontoma will erupt, if left alone.…”