Dental and Medical Problems

Dent Med Probl
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Dental and Medical Problems

2017, vol. 54, nr 2, April-June, p. 209–212

doi: 10.17219/dmp/73904

Publication type: clinical case

Language: English

License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)

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Adenomatoid odontogenic tumor of the maxilla mimicking a dentigerous cyst

Pseudogruczołowy guz zębopochodny szczęki przypominający torbiel zawiązkową

Wojciech Pawlak1,B,C,E,F, Zdzisław Woźniak2,B,C, Kamil Nelke3,A,B,D,E,F

1 Department of Maxillofacial Surgery, Wroclaw Medical University, Wrocław, Poland

2 Department of Pathology, Wroclaw Medical University, Wrocław, Poland

3 University Teaching Hospital in Wroclaw, Wrocław, Poland

Abstract

Adenomatoid odontogenic tumor (AOT) is a rare benign tumor which originates in the odontogenic epithelium. Some theories indicate its glandular origin because of the incidence in the same embryological pouch. This form of odontogenic tumor rarely metastasizes and generally only requires regional excisional biopsy within healthy tissues. The tumor is commonly associated with an unerupted tooth, mimicking a dentigerous cyst. AOTs are usually located in the anterior portion of the maxilla and are seen more frequently in young female patients and occur in the second decade of life. These are mostly asymptomatic small lesions discovered incidentally on panoramic radiograph; however, when a bacterial co-infection is present, their diagnosis can be troublesome. Treatment is conservative enucleation and curettage. In most cases recurrences are rare. Due to the rare occurrence of this lesion and its clinical features, the authors described a case of AOT in a 15-year old female presenting as a cystic mass associated with unerupted maxillary anterior teeth.

Key words

treatment outcomes, dentigerous cyst, maxilla, adenomatoid odontogenic tumor, odontogenic tumor

Słowa kluczowe

wyniki leczenia, torbiel zawiązkowa, szczęka, pseudogruczołowy guz zębopochodny, guz zębopochodny

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