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Review
. 2012 Nov 19:2012:bcr-2012-007160.
doi: 10.1136/bcr-2012-007160.

Large ameloblastic fibro-odontoma in an 18-year-old girl and review of literature

Ajay Pillai  1 , Swapnil Moghe, Kanishka Navin Guru, Preeti P Nair
Affiliations
Review

Large ameloblastic fibro-odontoma in an 18-year-old girl and review of literature

Ajay Pillai et al. BMJ Case Rep. .

Abstract

The ameloblastic fibro-odontoma is a rare, benign, mixed neoplasm composed of proliferating odontogenic epithelium, ectomesenchymal tissue and varying degrees of dental hard tissue formation. It occurs exclusively as an intraosseous lesion. It usually exhibits slow growth and is commonly seen in children and young adults. Radiologically, ameloblastic fibro-odontoma appears as a circumscribed radiolucency which may contain radiopaque foci. Most cases of ameloblastic fibro-odontoma exhibit benign behaviour, but cases of malignant transformation have been reported. The treatment modality in most cases involves conservative surgery, but in cases with malignant transformation more radical treatment will be required. A massive ameloblastic fibro-odontoma involving the mandible is being described here with its clinical, radiological and histopathological features.

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Figures

Figure 1
Figure 1
Facial profile.
Figure 2
Figure 2
Intra oral profile.
Figure 3
Figure 3
Panoramic radiography showed lesion appeared as well-defined radiopaque with radiolucent area and impacted tooth within large area of ramus of the mandible.
Figure 4
Figure 4
The lesion was enucleated.
Figure 5
Figure 5
Histopathological features suggestive of ameloblastic fibro-odontoma.
See this image and copyright information in PMC

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