An aggressive ameloblastic fibroma in a 9-year-old child treated with buccal fat graft

Ameloblastic fibroma is a relatively uncommon neoplasm of odontogenic origin which is characterized by simultaneous proliferation of both epithelial and mesenchymal tissue without the formation of enamel and dentin. It is a slow-growing tumor and commonly located in mandibular molar area, often over an unerupted tooth. It is usually diagnosed in the second decade of life. Its occurrence in posterior maxilla is a rare or uncommon entity and only few cases have been reported so far in children. The management of such lesions in maxilla is to avoid any disfigurement and at the same time not compromising its complete removal as it has tendency to recur and possibility of malignant change into ameloblastic fibrosarcoma. This report is a documentation of a case, of a 9-year-old female child with an aggressive ameloblastic fibroma of posterior region of maxilla. The patient has been followed up for 2 years; the outcome has been functionally and aesthetically satisfactory and there have been no signs of recurrence.