Ameloblastic fibro-odontoma in a 9-year-old boy

Abstract

Ameloblastic fibro-odontoma (AFO) is a rare, benign mixed odontogenic tumor. A 9-year-old Japanese boy was referred to Okayama University Hospital in December 2013 for the evaluation of an unerupted tooth in his right lower mandible. A panoramic radiograph showed a well-defined multilocular radiolucent lesion extending from the right first molar to the ramus of the mandibular, containing radiopaque foci. The first molar was impacted by the lesion. The tumor was easily enucleated from the cortical bone, and the follicle of the first molar was removed. The first molar was preserved in the hope that it would erupt to the occlusal plane. At the 3-year follow-up there was no evidence of recurrence, and the right first molar had erupted to the occlusal plane.