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Ameloblastic fibrodentinoma presenting as a false gingival enlargement in the maxillary anterior region.

Joseph S, Priya L, Gopal D, Devachen M, Narayan A, Afnan M - Case Rep Dent (2015)

Bottom Line: Microscopic examination showed islands, chords and strands of odontogenic epithelium in a primitive ectomesenchyme resembling dental papilla.The odontogenic epithelium exhibited peripheral ameloblast-like and central stellate reticulum-like cells.The presence of dentinoid material was seen adjacent to the odontogenic epithelium in some foci.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics, Al-Azhar Dental College, Thodupuzha, Kerala, India.

ABSTRACT
Ameloblastic fibrodentinoma is a rare benign mixed odontogenic neoplasm usually occurring in the first two decades of life. It is more common in males and the most common site of occurrence is in the mandibular premolar molar area. This report presents a case of ameloblastic fibrodentinoma in a 12-year-old boy in the maxillary anterior region, a less common site for the occurrence of ameloblastic fibrodentinoma. A 12-year-old boy presented with a midline diastema in 11 and 21 region and a swelling in the palatal aspect of 11 and 12. Intraoral periapical radiograph showed the presence of rarefaction of bone on the mesial aspect of the cervical and middle third of the root of 11. Excision biopsy was done. The specimen was processed and stained with hematoxylin and eosin. Microscopic examination showed islands, chords and strands of odontogenic epithelium in a primitive ectomesenchyme resembling dental papilla. The odontogenic epithelium exhibited peripheral ameloblast-like and central stellate reticulum-like cells. The presence of dentinoid material was seen adjacent to the odontogenic epithelium in some foci. The lesion was diagnosed as ameloblastic fibrodentinoma.

No MeSH data available.


Related in: MedlinePlus

Cavitary space in the nasopalatine region after the granulomatous tissue was curetted out.
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fig4: Cavitary space in the nasopalatine region after the granulomatous tissue was curetted out.

Mentions: Excisional biopsy of the lesion was done. The gross specimen was a granulomatous tissue in the nasopalatine region in a cavitary space with regular margins and smooth floor (Figure 4). The tissue was curetted out from the bony cavity and after curettage, the bony margins were observed to be smooth. The enucleated granulomatous tissue was soft in consistency and about 0.5 × 1 cm in size.


Ameloblastic fibrodentinoma presenting as a false gingival enlargement in the maxillary anterior region.

Joseph S, Priya L, Gopal D, Devachen M, Narayan A, Afnan M - Case Rep Dent (2015)

Cavitary space in the nasopalatine region after the granulomatous tissue was curetted out.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4325478&req=5

fig4: Cavitary space in the nasopalatine region after the granulomatous tissue was curetted out.
Mentions: Excisional biopsy of the lesion was done. The gross specimen was a granulomatous tissue in the nasopalatine region in a cavitary space with regular margins and smooth floor (Figure 4). The tissue was curetted out from the bony cavity and after curettage, the bony margins were observed to be smooth. The enucleated granulomatous tissue was soft in consistency and about 0.5 × 1 cm in size.

Bottom Line: Microscopic examination showed islands, chords and strands of odontogenic epithelium in a primitive ectomesenchyme resembling dental papilla.The odontogenic epithelium exhibited peripheral ameloblast-like and central stellate reticulum-like cells.The presence of dentinoid material was seen adjacent to the odontogenic epithelium in some foci.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics, Al-Azhar Dental College, Thodupuzha, Kerala, India.

ABSTRACT
Ameloblastic fibrodentinoma is a rare benign mixed odontogenic neoplasm usually occurring in the first two decades of life. It is more common in males and the most common site of occurrence is in the mandibular premolar molar area. This report presents a case of ameloblastic fibrodentinoma in a 12-year-old boy in the maxillary anterior region, a less common site for the occurrence of ameloblastic fibrodentinoma. A 12-year-old boy presented with a midline diastema in 11 and 21 region and a swelling in the palatal aspect of 11 and 12. Intraoral periapical radiograph showed the presence of rarefaction of bone on the mesial aspect of the cervical and middle third of the root of 11. Excision biopsy was done. The specimen was processed and stained with hematoxylin and eosin. Microscopic examination showed islands, chords and strands of odontogenic epithelium in a primitive ectomesenchyme resembling dental papilla. The odontogenic epithelium exhibited peripheral ameloblast-like and central stellate reticulum-like cells. The presence of dentinoid material was seen adjacent to the odontogenic epithelium in some foci. The lesion was diagnosed as ameloblastic fibrodentinoma.

No MeSH data available.


Related in: MedlinePlus