Abstract
Although controversial, the World Health Organization has recently categorized ameloblastic fibrodentinoma (AFD) as part of the spectrum of odontomas, pointing out that it may be a “developing odontoma.” The aim of this presentation is to report the case of a 9-year-old girl with a painless swelling in the posterior right mandible. Intraoral examination revealed a firm and slightly tender swelling on palpation. Panoramic radiograph showed a massive well-defined radiolucency affecting the mandibular body and ascending ramus presenting the so-called "soap bubble pattern" and root resorption. The diagnosis of AFD was provided by incisional biopsy. Primary treatment was performed by an intraoral approach and conservative surgical excision. After 9 months of treatment and follow-up, a discreet radiolucency with sclerotic borders was detected near the condylar neck and managed by another conservative surgery via retromandibular approach. No recurrence was noticed after a 3 years of follow-up. Although controversial, the World Health Organization has recently categorized ameloblastic fibrodentinoma (AFD) as part of the spectrum of odontomas, pointing out that it may be a “developing odontoma.” The aim of this presentation is to report the case of a 9-year-old girl with a painless swelling in the posterior right mandible. Intraoral examination revealed a firm and slightly tender swelling on palpation. Panoramic radiograph showed a massive well-defined radiolucency affecting the mandibular body and ascending ramus presenting the so-called "soap bubble pattern" and root resorption. The diagnosis of AFD was provided by incisional biopsy. Primary treatment was performed by an intraoral approach and conservative surgical excision. After 9 months of treatment and follow-up, a discreet radiolucency with sclerotic borders was detected near the condylar neck and managed by another conservative surgery via retromandibular approach. No recurrence was noticed after a 3 years of follow-up.
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