Ameloblastic Fibro-Odontoma in the Posterior Maxilla: A Rare Presentation and Management

Document Type : Case Report

Authors

OMFS department at al amiri hospital, Kuwait

Abstract

Ameloblastic fibro-odontoma (AFO) is a rare mixed odontogenic tumor characterized by both epithelial and mesenchymal components, along with dental hard tissue formation. It commonly occurs in the posterior mandible of children and young adults. It typically manifests as a slow-growing, painless swelling in the posterior jaw, frequently associated with an unerupted
tooth. Radiographic examination reveals a well-defined radiolucent lesion with radiopaque foci, mimicking other odontogenic tumors such as ameloblastic fibroma and odontoma, making diagnosis challenging. Histopathological analysis confirms the presence of odontogenic epithelium within a cellular ectomesenchymal stroma, alongside dental hard tissue formation. Surgical enucleation remains the primary treatment, with an excellent prognosis and low recurrence rates. However, misdiagnosis or delayed intervention may lead to significant jaw deformities and potential malignant transformation. This case report details an unusual presentation of AFO in the posterior maxilla of a 12-year-old male, discussing the clinical presentation, differential diagnosis, and management of AFO, emphasizing the need for early detection and precise histological evaluation to optimize patient outcomes.

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History

  • Receive Date: 30 March 2025
  • Accept Date: 06 April 2025

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