Ameloblastic fibrodentinoma in a baby maxilla: case report

Abstract

Introduction: Ameloblastic fibrodentinoma (AFD) is a rare, asymptomatic, slowgrowing mixed odontogenic tumor, usually affecting children and young people in their first or second decade of life. This lesion usually causes bone expansion of the involved region and makes tooth eruption difficult. Objective: the aim of thisstudy is to report a case of AFD in the anterior maxilla of a 3-year-old baby and its treatment, highlighting the importance of early dental care and treatment for this type of injury. Case report: A 3-year-old female patient attended the dental care clinic at Cesmac University Center (Maceio- AL, Brazil), accompanied by her mother, reporting a swollen gum for approximately 6 months. Clinical examination revealed an increase in volume in the right central and lateral incisor region, discreetly reddish in color, smooth surface, spherical shape, sessile insertion, no mobility and firm consistency. Radiographic examination revealed a mixed lesion with radiolucent area compatible with bone resorption and radiopaque areas compatible with calcified material within the lesion. An incisional biopsy was performed, confirming the diagnosis of Ameloblastic Fibrodentinoma. Conclusion: Treating this anomaly requires an early approach to improve the quality of life of these patients. Parents or guardians should be advised of the need for periodic follow-up after treatment.