A large ameloblastic fibro-odontoma of the right mandible

Ayham Arab Oghli, Ignazio Scuto, Christoph Ziegler, Christa Flechtenmacher, Christof Hofele
Medicina Oral, Patología Oral y Cirugía Bucal 2007, 12 (1): E34-7
The ameloblastic fibro-odontoma is a rare mixed odontogenic tumor. It occurs predominantly in children and young adults with no sex predilection and locates most often in the posterior segment of the mandible. A painless swelling is the most common clinical sign. Radiologically, ameloblastic fibro-odontoma shows a circumscribed radiolucency, which contains radio-opaque foci of various sizes and shapes. Histological examination reveals a fibrous soft tissue, islands of odontogenic epithelium and a disordered mixture of dental tissues. The tumor produces enamel or enamel matrix, dentin and cementum. The treatment of ameloblastic fibro-odontomas usually consists of enucleation or surgical curettage, which is possible due to their benign biological behaviour.

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