CONSERVATIVE TREATMENT OF ADENOID AMELOBLASTOMA: A CASE REPORT

Abstract

A 27-year-old female presented painful swelling in the face, on the right mandibular side, 4 months prior to her appointment. Intraoral examination made it possible to observe swelling in the lower mandibular molar vestibule on the right side. Panoramic radiography disclosed a well corticated unilocular radiolucent lesion involving lower mandibular molars on the right side, with root resorption of teeth #46 and #47. Needle aspiration was performed, and a negative result was observed. The total enucleation of the lesion was then performed. The pathological examination revealed a benign odontogenic neoplasm characterized by the presence of infiltrating odontogenic cells arranged in whorls, duct-like structures in a cribriform arrangement, with peripheral palisading ameloblast-like cells, surrounded by a fibrous vascular stroma, with the presence of a moderate inflammatory infiltrate. The histopathological diagnosis was adenoid ameloblastoma. After 8 months, clinical and radiographic follow-up was performed, and a complete bone formation was observed. A 27-year-old female presented painful swelling in the face, on the right mandibular side, 4 months prior to her appointment. Intraoral examination made it possible to observe swelling in the lower mandibular molar vestibule on the right side. Panoramic radiography disclosed a well corticated unilocular radiolucent lesion involving lower mandibular molars on the right side, with root resorption of teeth #46 and #47. Needle aspiration was performed, and a negative result was observed. The total enucleation of the lesion was then performed. The pathological examination revealed a benign odontogenic neoplasm characterized by the presence of infiltrating odontogenic cells arranged in whorls, duct-like structures in a cribriform arrangement, with peripheral palisading ameloblast-like cells, surrounded by a fibrous vascular stroma, with the presence of a moderate inflammatory infiltrate. The histopathological diagnosis was adenoid ameloblastoma. After 8 months, clinical and radiographic follow-up was performed, and a complete bone formation was observed.