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http://dx.doi.org/10.5933/JKAPD.2013.40.4.321

Successful Conservative Surgical Treatment of Ameloblastic Fibroma in the Posterior Maxilla : A Case Report  

Lee, Youngeun (Department of Pediatric Dentistry, School of dentistry, Kyung Hee University)
Ahn, Hyojung (Department of Pediatric Dentistry, School of dentistry, Kyung Hee University)
Lee, Sooeon (Department of Pediatric Dentistry, School of dentistry, Kyung Hee University)
Kim, Euncheol (Department of Maxillofacial Tissue Regeneration, School of Dentistry and Research Center for Tooth and Periodontal Tissue Regeneration, School of Dentistry, Kyung Hee University)
Choi, Sungchul (Department of Pediatric Dentistry, School of dentistry, Kyung Hee University)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.40, no.4, 2013 , pp. 321-327 More about this Journal
Abstract
Ameloblastic fibroma (AF) is a rare odontogenic ectomesenchymal tumor that is frequently seen in the first two decades of life, and occurs in the mandible. The most proper management of AF has been a recent topic of debate because of its recurrence and malignant transformation. This report describes AF in a 4-year-old male, which was a unilocular radiolucency on the maxillary right primary molar area with a scalloped border and corticated margin. The tumor was treated conservatively with enucleation and curettage, and the decision was made to preserve the right primary second molar. A biopsy confirmed it as AF. During the 43 months of follow-up, the patient had no evidence of recurrence or malignant transformation. Moreover, the radiographic examination revealed the generation of tooth germ to be a permanent second premolar. This report shows a case of AF in the posterior maxilla of a 4-year-old boy and discusses the conservative therapeutic approach to this tumor. Therefore, the age of the patients should be an important consideration when choosing conservative or radical surgery in a young AF patient.
Keywords
Ameloblastic fibroma; Mixed odontogenic tumor; Enucleation;
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