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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

June 2008
Volume 39 , Issue 6

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Ameloblastic fibroma of the mandible associated with root resorption and unerupted teeth: A case report

Ioannis Dimitrakopoulos, DDS, MD/Konstantinos Psomaderis, DDS, MD/ Thomas Zaramboukas, MD, PhD

Pages: 523527
PMID: 19057751

Ameloblastic fibroma (AF) is an uncommon benign odontogenic mixed tumor. A case of an AF associated with unerupted and missing teeth is presented. A 13-year-old girl was referred for evaluation of a painless swelling of her right mandible. The most remarkable finding was the resorption of the proximal root of the permanent first molar. The lesion was completely enucleated. Follow-up showed satisfactory bony healing, and the resorbed root was completely surrounded by a continuous layer of intact lamina dura. In most cases, the patient presents to the clinician complaining of an unerupted tooth at the posterior area of the mandible. The most remarkable finding in our case, however, was the coexisting root resorption. This finding could indicate a more aggressive form of AF. AF has a very good prognosis. Malignant transformation is extremely rare. (Quintessence Int 2008;39:523527)

Key words: ameloblastic fibroma, ameloblastic fibrosarcoma, delayed eruption, mandible, root resorption

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