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Solitary ameloblastic fibroma with impacted teeth: A case report
Gabor Kammerhofer1, Sandor Bogdan1, Daniel Vegh2
1Department of Oromaxillofacial Surgery and Stomatology, Semmelweis University, 1088, Budapest, Hungary.
Summary
This case report details a rare benign mandibular tumor, ameloblastic fibroma (AF). Early diagnosis and complete surgical excision are crucial for successful treatment and preventing malignant transformation.
Area of Science:
- Oral and Maxillofacial Surgery
- Pathology
- Radiology
Background:
- Odontogenic tumors are rare, often asymptomatic, and discovered incidentally.
- Ameloblastic fibroma (AF) is a benign odontogenic tumor requiring prompt management.
- Recent literature reviews (Jan 2017-Aug 2023) inform current diagnostic and therapeutic approaches.
Observation:
- A case report presenting a rare benign mandibular tumor.
- Orthopantomogram (OPG) showed a well-defined unilocular radiolucency involving the mandibular ramus and teeth 47/48.
- 3D imaging via cone-beam computed tomography (CBCT) was utilized for detailed examination.
Findings:
- The tumor was surgically removed in toto using an intraoral approach and piezoelectric device.
- Histological investigation confirmed the diagnosis.
- Bone plates were fixed with microplates, followed by primary flap closure.
Implications:
- This case advances understanding of ameloblastic fibroma diagnosis and treatment.
- Complete excision and long-term follow-up are essential for favorable outcomes.
- Timely intervention for AF is critical to prevent potential malignant transformation.
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