An ameloblastic fibroma is a fibroma of the ameloblastic tissue, that is, an odontogenic tumor arising from the enamel organ or dental lamina. It may be either. Ameloblastic fibroma, is a mixed odontogenic tumor, which commonly affects young children under the age of 20 years, with the mandibular premolar-molar. ameloblastic fibroma in a 9-year-old boy has been presented along with a review of the literature. The tumor responded to conservative surgical treatment.

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In contrast to conventional ameloblastoma, the strands of AFs show double or triple layer of cuboidal cells.

Ameloblastic fibroma Lalitha C H, Goyal S, Perka L, Kodangal S – J Indian Acad Oral Med Radiol

The lesion was excised and curettage of the adjacent maxillary bone was performed under general anesthesia. The tumor predominantly affects the posterior region of the mandible 2 – 4 in patients during the first and second decades life 1 – 3. AF may be initially identified in routine radiographic exams 4. Published online Oct Males show a slightly higher prediction than females M: Moreover, divergence of the roots was also observed Fig.

Received Oct 6; Accepted Oct 9. Radiographically they appear unilocular or multilocular with smooth well-demarcated borders [ 9 ] which are often misdiagnosed as dentigerous cyst when associated with an impacted tooth.

A review of published studies with special reference to its nature and biological behavior. The recurrence rate varies among sources, but is considered to be low [ 57 ]. However, except for adenomatoid odontogenic tumor, these tumors are uncommon in this age group Panoramic radiograph showed a fibromx radiolucent area with well-defined borders, involving the posterior aspect of the right mandible.


View at Google Scholar P. J Clin Exp Dent. Cohen DM, Bhattacharyya I.

Ameloblastic fibroma: A rare case appearing as a mixed radiographic image

Indexed in Web of Amelonlastic. The authors declare that there is no conflict of interests regarding the publication of this paper. Case Report A year-old male was referred for evaluation of a lesion in the left body of the mandible identified in a radiographic exam for orthodontic treatment planning.

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Review of the literature and presentation of new cases of odontomas. Diagnosis Histological evaluation revealed multiple fragments of richly cellular mesenchymal tissue containing round drop-like islands and ameloblastoc narrow anastomosing cords of odontogenic epithelium.

Although few cases have been reported, the majority of studies indicate a slight predilection for the male gender 2 – 4.

Related articles Ameloblastic fibroma cytopathology fine-needle aspiration mandible. Finally, immunohistochemistry generally does not aid in differentiating ameloblastic fibroma from other mixed odontogenic tumors.

Photomicrograph showing tall columnar ameloblasts with reversal of polarity. However, the diagnosis of malignant transformation is only established from the retrieval of the primary tumor or recurring tumors in which the original histological features of the AF can be observed 1. Thus, the diagnosis of AF was established.

It occurs most frequently in the posterior region of the mandible, while its occurrence in the maxilla is extremely rare. Several spindle-shaped cells and abundant extracellular matrix deposition were found between the islands of neoplastic cells HE, x Based on the clinical and roentgenographic findings, a presumptive preoperative diagnosis of odontogenic tumor was made.


Lobular carcinoma fbroma situ Invasive lobular carcinoma. Ameloblastic fibroma, ameloblastic fibro-odontoma, and odontoma. The epithelial component is made up of thin branching cords or small nests of odontogenic epithelium with little cytoplasm and basophilic nuclei.

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

The lesion was measuring approximately 3.

Ameloblastic fibroma: A rare case appearing as a mixed radiographic image

There stands a controversy on this spectrum of lesions whether these should be classified as different entities or represent different stages of maturation of the same entity.

Well-defined unilocular radiolucency prohibiting the eruption of the left maxillary second molar. An analysis of the interrelationship of the mixed odontogenic tumors: Jindal C, Bhola RS.

Because lesions are frequently associated with unerupted teeth they may initially be interpreted as dentigerous cysts [ 1347 ].

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