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Maxillary adenomatoid odontogenic tumor associated with a premolar.

Kalia V, Kalra G, Kaushal N, Sharma V, Vermani M - Ann Maxillofac Surg (2015 Jan-Jun)

Bottom Line: Consequently, the WHO (2005) classification of odontogenic lesions considered this process to represent a mixed odontogenic neoplasm.We present a case of a 12-year-old female patient with an AOT of diameter 5 cm × 5 cm located in the anterolateral region of the maxilla in association with an impacted premolar tooth.The rarity of AOT, association of this lesion with regards to maxillary premolar, the exaggerated size at presentation, the eruption of the displaced canine postoperatively and uneventful healing of the bony defect without adjunctive therapy makes this case unique.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral, Maxillofacial Surgery, BRS Dental College and Hospital, Panchkula, Haryana, India.

ABSTRACT
The adenomatoid odontogenic tumor (AOT) represents 3-7% of all odontogenic tumors, and over 750 cases have been reported in the literature. This lesion was formerly considered to be a variant of the ameloblastoma and was designated as adenoameloblastoma. These lesions may infrequently produce dentinoid material and rarely enamel matrix. Consequently, the WHO (2005) classification of odontogenic lesions considered this process to represent a mixed odontogenic neoplasm. We present a case of a 12-year-old female patient with an AOT of diameter 5 cm × 5 cm located in the anterolateral region of the maxilla in association with an impacted premolar tooth. The rarity of AOT, association of this lesion with regards to maxillary premolar, the exaggerated size at presentation, the eruption of the displaced canine postoperatively and uneventful healing of the bony defect without adjunctive therapy makes this case unique.

No MeSH data available.


Related in: MedlinePlus

Enucleated mass
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Figure 5: Enucleated mass

Mentions: Under premedication (i.e. injection atropine, 0.6 mg IM, 60 min before surgery and injection diazepam 5–10 mg IM) and local anesthesia, an adequate window was created and the tumor mass was enucleated along with the enclosed 24 tooth [Figures 4 and 5]. The mass was partially solid with partial cystic degeneration, and a gritty sensation could be elicited on examination. The remaining cavity was found to be clean without any tissue tags hence chemical or mechanical curettage was not done. The wound was sutured with 3–0 silk with an open packing. The packs were changed after weekly intervals for 6 weeks and the patient was instructed to keep the area clean.


Maxillary adenomatoid odontogenic tumor associated with a premolar.

Kalia V, Kalra G, Kaushal N, Sharma V, Vermani M - Ann Maxillofac Surg (2015 Jan-Jun)

Enucleated mass
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4555936&req=5

Figure 5: Enucleated mass
Mentions: Under premedication (i.e. injection atropine, 0.6 mg IM, 60 min before surgery and injection diazepam 5–10 mg IM) and local anesthesia, an adequate window was created and the tumor mass was enucleated along with the enclosed 24 tooth [Figures 4 and 5]. The mass was partially solid with partial cystic degeneration, and a gritty sensation could be elicited on examination. The remaining cavity was found to be clean without any tissue tags hence chemical or mechanical curettage was not done. The wound was sutured with 3–0 silk with an open packing. The packs were changed after weekly intervals for 6 weeks and the patient was instructed to keep the area clean.

Bottom Line: Consequently, the WHO (2005) classification of odontogenic lesions considered this process to represent a mixed odontogenic neoplasm.We present a case of a 12-year-old female patient with an AOT of diameter 5 cm × 5 cm located in the anterolateral region of the maxilla in association with an impacted premolar tooth.The rarity of AOT, association of this lesion with regards to maxillary premolar, the exaggerated size at presentation, the eruption of the displaced canine postoperatively and uneventful healing of the bony defect without adjunctive therapy makes this case unique.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral, Maxillofacial Surgery, BRS Dental College and Hospital, Panchkula, Haryana, India.

ABSTRACT
The adenomatoid odontogenic tumor (AOT) represents 3-7% of all odontogenic tumors, and over 750 cases have been reported in the literature. This lesion was formerly considered to be a variant of the ameloblastoma and was designated as adenoameloblastoma. These lesions may infrequently produce dentinoid material and rarely enamel matrix. Consequently, the WHO (2005) classification of odontogenic lesions considered this process to represent a mixed odontogenic neoplasm. We present a case of a 12-year-old female patient with an AOT of diameter 5 cm × 5 cm located in the anterolateral region of the maxilla in association with an impacted premolar tooth. The rarity of AOT, association of this lesion with regards to maxillary premolar, the exaggerated size at presentation, the eruption of the displaced canine postoperatively and uneventful healing of the bony defect without adjunctive therapy makes this case unique.

No MeSH data available.


Related in: MedlinePlus