Key Points
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The adenomatoid odontogenic tumour (AOT) is a rare tumour of the jaws with completely benign behaviour.
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Treatment of this lesion is via surgical curettage and recurrence seldom if ever occurs. It is ironic that it has been advocated to extract teeth associated with an AOT despite this fact.
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Extraction of the permanent dentition in adolescents is not always in the best interests of the patient especially if it is aesthetically or functionally strategic.
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This study describes the treatment of an adolescent girl for an impacted mandibular canine associated with an AOT.
Abstract
The adenomatoid odontogenic tumour (AOT) has been known by a number of descriptive names (adenoameloblastoma, ameloblastic adenomatoid tumour, glandular ameloblastoma, and adenomatoid ameloblastoma) since it was first reported and later recognised as a distinct odontogenic lesion unrelated to ameloblastoma. Although it was considered to be a variant of ameloblastoma at one time leading surgeons to perform unduly aggressive surgery, the treatment outcome experience has borne out the benign, nonaggressive nature of this lesion. The AOT is now considered to be a hamartoma with completely benign behaviour. Recurrence seldom if ever occurs after surgical curettage.1,2,3,4 Thus, it appears needless to extract involved anterior teeth associated with the tumour, especially in children. We report a case in which surgical and orthodontic treatment helped to salvage an impacted mandibular canine associated with an AOT in an adolescent girl. We have not found such a procedure to have been done for this tumour in the literature.
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References
Gold L . Odontogenic tumours: Surgical pathology and management: In Fonseca R J Oral and Maxillofacial Surgery. pp 328–330. Philadelphia: WB Saunders, 2000.
Assael L . Surgical management of odontogenic cysts and tumours. In Peterson L J et al. Principles of oral and maxillofacial surgery. Vol. 3. pp 698–701. UK: Lippincott, 1992.
Waldron CA : Odontogenic cysts and tumours In Neville B W, Damm D D, Allen C M, Bouquot J E. Oral and maxillofacial pathology. pp 529–531. Philadelphia: WB Saunders, 1995.
Wood NK, Goaz PW, Jaocobs MC . Bony lesions. In Wood N K, Goaz P W. Differential diagnosis of oral and maxillofacial lesions. pp 289–290. Philadelphia: CV Mosby, 1997.
Philipsen HP, Reichart PA . Adenomatoid odontogenic tumour: facts and figures. Oral Oncol 1999; 35: 125–131.
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Motamedi, M., Shafeie, H. & Azizi, T. Salvage of an impacted canine associated with an adenomatoid odontogenic tumour: A case report. Br Dent J 199, 89–90 (2005). https://doi.org/10.1038/sj.bdj.4812522
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DOI: https://doi.org/10.1038/sj.bdj.4812522
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