Abstract
A 26-year-old female patient was referred to the stomatology clinic with a complaint of "lump in the gums." Physical examination revealed a discrete swelling laterally to the upper lip on the left side. On intraoral examination, a dome-shaped swelling that was sessile, normochromic, with an intact surface, painless and firm in the alveolar mucosa, above the crowns of teeth 23 and 24, and with a year of evolution was noted. Periapical and panoramic radiographic revealed a single radiolucent image with sclerotic borders limited by the adjacent bone and displacement of the premolar roots. Excisional biopsy was performed during the surgery, and upon detaching the buccal mucosa, it was noted that the lesion was located peripherally and that the cortical bone was intact, showing only an erosion where the lesion was lodged. The diagnostic hypotheses were odontogenic lesions with peripheral variant and other reactive lesions. Histopathologic analysis was conclusive to adenomatoid odontogenic tumor. The patient is being followed up with no recurrence.
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