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Pediatric Ameloblastic Fibroma: A Case Report.

Edmund Whitson¹, Eliza Kim¹, Dennis Youngblood²

¹LECOM School of Dental Medicine, Bradenton, Florida, USA.

The Journal of Contemporary Dental Practice

|May 22, 2020

Summary

Diagnosing ameloblastic fibromas in children with autism spectrum disorder presents challenges. Early recognition and careful inspection are crucial for timely intervention and reduced complications in these nonverbal patients.

Keywords:

Autism Marsupialization Nonverbal Pediatric ameloblastoma.

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Area of Science:

Pediatric Dentistry
Oral Pathology
Autism Spectrum Disorder

Background:

Ameloblastic fibromas are benign odontogenic tumors often found in the posterior mandible.
These tumors typically present in the first two decades of life and may be associated with impacted teeth.
Radiographic features include unilocular or multilocular lesions with well-defined, scalloped margins.

Observation:

A 9-year-old male with autism spectrum disorder presented with mandibular tenderness, described as tingling.
Histopathological examination confirmed a diagnosis of pediatric ameloblastic fibroma.
The patient underwent marsupialization and curettage, a conservative treatment approach.

Findings:

The conservative treatment of marsupialization and curettage was successful in this case, with no recurrence at six months.
Normal eruption patterns of succedaneous teeth were observed post-treatment.
The case highlights the potential for delayed diagnosis in nonverbal children.

Implications:

Challenges in diagnosing head and neck neoplasms in children with autism spectrum disorder necessitate heightened clinical vigilance.
Individualized treatment approaches are essential for ameloblastic fibromas.
Emphasizes the importance of careful clinical and radiographic inspection for early detection of orofacial neoplasms in nonverbal or nondescriptive patients.