Abstract
An unusual case of ameloblastic fibro-odontoma in a 3-year-old boy is reported.
The patient complained of a diffuse swelling in the gingiva of the maxillary right primary central incisor. The radiographic evaluation, which included an intraoral view and an occlusual view, revealed a well-circumscribed monolocualar radiolucent lesion without a radio-opaque mass.
According to the histological findings, the tumor mass was composed of primitive connective tissue resembling dental papilla. Proliferation of odontogenic epithelium and hard tissue resembling enamel, dentin and cementum were found. Consequently, we diagnosed ameloblastic fibro-odontoma.
As treatment, the tumor was removed simply and the primary central incisor was left.
The clinical course is excellent, and there is no evidence of reccurrence.