Conservative enucleation for physiologic space closure in adenomatoid odontogenic tumor
10.5125/jkaoms.2024.50.3.170
- Author:
Kezia Rachellea MUSTAKIM
1
;
Mi Young EO
;
Hye-Jung YOON
;
Soung Min KIM
Author Information
1. Departments of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea
- Publication Type:BRIEF COMMUNICATION
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2024;50(3):170-174
- CountryRepublic of Korea
- Language:English
-
Abstract:
Adenomatoid odontogenic tumor (AOT) is a rare, asymptomatic, slow-growing benign tumor that can be divided into three variants: follicular, extrafollicular, and peripheral. By treating AOT using an enucleation and curettage approach, recurrence can be avoided. We report a case of a 24-year-old female who presented with a lump in the right mandibular premolar area along with diastema between displaced teeth #43 and #44 and was diagnosed with extrafollicular AOT. The patient was managed with enucleation-curettage surgery without additional bone graft procedure along with routine follow-up. A successful outcome without recurrence was achieved, and diastema closure with repositioning of the displaced teeth did not require orthodontic treatment. AOT should be managed via enucleation and curettage to obtain successful outcomes without recurrence. Spontaneous bone regeneration following enucleation can be achieved without guided bone regeneration. Also, diastema closure and repositioning of displaced teeth can occur without orthodontic interventions through physiologic drift.
