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Ameloblastic Fibroma of the Mandible Reconstructed with Autogenous Parietal Bone: Report of a Case and Literature Review. | LitMetric

Ameloblastic Fibroma of the Mandible Reconstructed with Autogenous Parietal Bone: Report of a Case and Literature Review.

Case Rep Dent

Department of Oral and Maxillofacial Surgery, Alder Hey Children's NHS Foundation Trust, East Prescot Road, Liverpool L14 5AB, UK.

Published: June 2019

AI Article Synopsis

Article Abstract

Ameloblastic fibroma (AF) is a rare, slow-growing benign neoplasm, comprised of tissues of odontogenic origin. It constitutes 2% of odontogenic tumours, occurring at any age, but has a predilection to present in the first two decades of life. AF principally affects the posterior mandible. It is characterized by epithelial islands and cords immersed in ectomesenchyme that mimics the dental papilla and enamel organ but without actual hard tissue formation. Herein, we describe the case of a 6-year-old Caucasian male who presented to the Oral and Maxillofacial Department at Alder Hey Children's Hospital, Liverpool, UK, with a painless expansile mass in the left mandible which was diagnosed as a benign ameloblastic fibroma and subsequently enucleated and reconstructed with a parietal calvarial bone graft. A brief literature review and the issues surrounding diagnosis are discussed.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6604494PMC
http://dx.doi.org/10.1155/2019/5149219DOI Listing

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Ameloblastic fibroma (AF) and related lesions, namely ameloblastic fibrodentinoma (AFD) and ameloblastic fibro-odontoma (AFO), span a spectrum from true neoplasms to hamartomas. The 2017 World Health Organization classification proposes that AFD and AFO are precursors to odontomas, yet their precise nature remains uncertain. This study examined 19 AF cases, 4 AFD, 15 AFO, 19 odontomas (OD, 14 complex, 5 compound), and 2 ameloblastic fibrosarcomas (AFS), focusing on clinical characteristics, recurrence, and molecular profiles.

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The acetylation of histones H2A on lysine 5 (H2AacK5) and H3 on lysine 27 (H3AcK27) modulate several cellular mechanisms through the p300 enzyme in pathological lesions; however, their role in odontogenic lesions has not been addressed. This study aims to evaluate the immunoexpression of p300, H2AacK5, and H3AcK27 in samples of ameloblastoma (AMB) (n = 30), odontogenic keratocyst (OK) (n = 15), adenomatoid odontogenic tumor (AOT) (n = 10), odontogenic fibroma (OF) (n = 8), calcifying odontogenic cyst (COC) (n = 8), odontogenic myxoma (MIX) (n = 10), and ameloblastic fibroma (AF) (n = 06). The percentage of p300-positive cells was higher in AOT and decreased in COC, OK, AMB, AF, OF, and MIX.

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Article Synopsis
  • The research analyzed the occurrence of odontogenic tumors (OT) and certain cysts at an oral pathology center in New Zealand over 15 years, revealing that 1.8% of biopsies were identified as these conditions.
  • The most common types identified were odontoma, ameloblastoma, and cemento-ossifying fibroma, with male patients and those diagnosed in the mandibular region being more prevalent.
  • The study highlighted the importance of long-term monitoring for patients with OKC and ameloblastoma due to their recurrence rates of 15.2% and 13.7%, respectively.
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Synchronous cemento-ossifying fibromas: a systematic review.

Med Oral Patol Oral Cir Bucal

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Universidade Federal do Rio Grande do Sul Faculdade de Odontologia, Rua Ramiro Barcelos, 2492, sala 503 CEP: 90035-003, Santana, Porto Alegre RS, Brazil

Article Synopsis
  • - This systematic review analyzed published data on synchronous cemento-ossifying fibromas (COF), including their demographic and clinical features, utilizing various databases and following PRISMA guidelines.
  • - A total of 19 studies with 20 COF cases were examined, revealing a mean patient age of 35 years, a predominance of female patients (60%), and simultaneous involvement of the mandible and maxilla in 65% of cases.
  • - Management typically involved surgical procedures, with a recurrence rate noted in 15% of cases that had follow-ups, and the findings suggest that synchronous COF is rare, especially affecting women in their 30s.
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Solitary ameloblastic fibroma with impacted teeth: A case report.

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October 2024

Department of Oromaxillofacial Surgery and Stomatology, Semmelweis University, 1088, Budapest, Hungary.

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  • This case report talks about a rare, non-cancerous tumor in the jaw and looks at information from studies done between 2017 and 2023.
  • The team used special 3D imaging and tools to accurately remove the tumor from the patient's jaw and checked it to learn more about it.
  • These types of tumors are often found by chance during regular check-ups, and if treated properly, they usually heal well and don’t turn into something worse.
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