A 34-year-old male patient presented with asymptomatic swelling in the left posterior maxilla. The intraoral exam showed an expansive lesion, soft to palpation, covered by a normal-colored mucosa. Computed tomography scans revealed a well-defined unilocular hypodense tumor involving the left maxillary sinus. A plentiful yellowish fluid was collected by aspiration puncture. The lesion was enucleated, and the histopathologic examination showed a cystic tumor lined by an ameloblastic epithelium containing columnar basal cells with hyperchromatic and polarized nuclei. In some capsule areas, the tumor showed a mural infiltration by sheets of cells containing central whirling structures. Dentinoid material in association with ameloblastic-like cells was also observed. Collectively, these findings were consistent with the diagnosis of a cystic variant of adenoid ameloblastoma with dentinoid. There was no sign of recurrence after 3 years of follow-up. A 34-year-old male patient presented with asymptomatic swelling in the left posterior maxilla. The intraoral exam showed an expansive lesion, soft to palpation, covered by a normal-colored mucosa. Computed tomography scans revealed a well-defined unilocular hypodense tumor involving the left maxillary sinus. A plentiful yellowish fluid was collected by aspiration puncture. The lesion was enucleated, and the histopathologic examination showed a cystic tumor lined by an ameloblastic epithelium containing columnar basal cells with hyperchromatic and polarized nuclei. In some capsule areas, the tumor showed a mural infiltration by sheets of cells containing central whirling structures. Dentinoid material in association with ameloblastic-like cells was also observed. Collectively, these findings were consistent with the diagnosis of a cystic variant of adenoid ameloblastoma with dentinoid. There was no sign of recurrence after 3 years of follow-up.