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Updated: May 27, 2026
04:04
Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
Published on: August 15, 2025
Ameloblastic fibro-odontoma masquerading as odontoma
Kanwar Deep Singh Nanda1, Mohita Marwaha
1Department of Oral and Maxillofacial Pathology, SGT Dental College and Hospital, Gurgaon, Haryana, India. kdsnanda@gmail.com
Summary
Ameloblastic fibro-odontoma (AFO), a rare benign tumor, can mimic odontomas on radiographs. Conservative enucleation successfully treated a pediatric case, preserving the impacted tooth with no recurrence.
Area of Science:
- Dentistry
- Oral Pathology
- Oncology
Background:
- Ameloblastic fibro-odontoma (AFO) is a rare, benign, mixed epithelial-odontogenic tumor.
- Typically presents as an asymptomatic intraosseous lesion, often discovered during radiographic evaluation for unerupted or impacted teeth, particularly in children and adolescents.
Observation:
- A 13-year-old boy presented with a missing right central incisor.
- Radiographic evaluation suggested an odontoma, but histological examination confirmed Ameloblastic fibro-odontoma.
- The lesion was associated with an impacted tooth.
Findings:
- Histological examination revealed fibrous tissue, odontogenic epithelium islands, and a disorganized mix of dental tissues.
- Surgical enucleation was performed, successfully removing the AFO.
- The impacted tooth was preserved during the procedure.
Implications:
- This case highlights the importance of thorough histopathological examination for accurate diagnosis of AFO, differentiating it from odontomas.
- Conservative surgical management, including enucleation with preservation of associated teeth, is an effective treatment strategy.
- Long-term follow-up confirmed no recurrence, supporting the efficacy of the chosen treatment approach.
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