Adenomatoid odontogenic tumor. Presentation of a clinical case
DOI:
https://doi.org/10.56294/saludcyt2024.564Keywords:
Adenomatoid odontogenic tumor, unicystic, follicular variant, surgical enucleation, root resorption, postoperative follow-upAbstract
Adenomatoid odontogenic tumor (ATO) is a rare benign tumor that represents 3% of odontogenic tumors. Originated from remains of the dental lamina or odontogenic epithelium, it occurs in three variants: follicular (73%), extracystic (24%) and intraosseous (3%). The follicular variant is the most common and is usually associated with the crown of an unerupted tooth, typically a maxillary canine. It mainly affects young people in their second decade of life and presents as a painless and slow-growing increase in volume in the anterior maxillary region. In this study, the case of a 16-year-old patient with a follicular variant unicystic TOA in the right mandibular region is presented. A complete enucleation of the lesion, which measured 4 cm, was performed, observing expansion of the external cortex, a close relationship with the included tooth 4.3 and root resorption in adjacent teeth. The diagnosis was confirmed by histopathology, and one year later, the patient showed a favorable evolution, with bone repair and no significant complications. Despite its low incidence, it is crucial to report clinical cases of TOA to improve the understanding of its clinical characteristics, surgical management, and postoperative evolution. In addition, they provide information on the prognosis and possible long-term complications of this odontogenic neoplasm
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