Adenomatoid odontogenic tumor

Adenomatoid odontogenic tumor
SpecialtyDentistry

The adenomatoid odontogenic tumor is an odontogenic tumor[1] arising from the enamel organ or dental lamina.

Signs and symptoms

Two thirds of cases are located in the anterior maxilla, and one third are present in the anterior mandible.[2]

Two thirds of the cases are associated with an impacted tooth (usually being the canine).

Diagnosis

On radiographs, the adenomatoid odontogenic tumor presents as a radiolucency (dark area) around an unerupted tooth extending past the cementoenamel junction.

It should be differentially diagnosed from a dentigerous cyst and the main difference is that the radiolucency in case of AOT extends apically beyond the cementoenamel junction.

Radiographs will exhibit faint flecks of radiopacities surrounded by a radiolucent zone.

It is sometimes misdiagnosed as a cyst.[3]

Treatment

Treatment can involve enucleation.[4]

Epidemiology

It is fairly uncommon, but it is seen more in young people. Two thirds of the cases are found in females.[5]

References

  1. ↑ Nigam S, Gupta SK, Chaturvedi KU (2005). "Adenomatoid odontogenic tumor - a rare cause of jaw swelling". Braz Dent J. 16 (3): 251–3. doi:10.1590/S0103-64402005000300015. PMID 16429194.
  2. ↑ Nonaka CF, de Souza LB, Quinderé LB (2007). "Adenomatoid odontogenic tumour associated with dentigerous cyst--unusual case report". Rev Bras Otorrinolaringol (Engl Ed). 73 (1): 129–31. doi:10.1016/s1808-8694(15)31135-6. PMID 17505612.
  3. ↑ Handschel JG, Depprich RA, Zimmermann AC, Braunstein S, Kübler NR (August 2005). "Adenomatoid odontogenic tumor of the mandible: review of the literature and report of a rare case". Head Face Med. 1: 3. doi:10.1186/1746-160X-1-3. PMC 1266042. PMID 16270916.
  4. ↑ Vasconcelos BC, Frota R, Cardoso AB, Porto GG, Carneiro SC (2008). "Adenomatoid odontogenic tumor". Braz J Otorhinolaryngol. 74 (2): 315. doi:10.1016/s1808-8694(15)31107-1. PMID 18568215.
  5. ↑ "Odontogenic tumors". Archived from the original on 2011-07-20. Retrieved 2009-01-04.
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