Adenomatoid Odontogenic Tumor: Rare Clinical Presentation In A 20 Year Old Male

Abstract

Adenomatoid odontogenic tumours (AOTs) are rare odontogenic tumours that typically occur in the anterior maxilla and are painless. They are typically linked to unerupted teeth or dentigerous cysts. AOTs make about 3% of all odontogenic tumours.¹ It is distinct from other odontogenic tumours, with over two-thirds (69%) being diagnosed between the ages of 10 and 19; over half (53%) occurring in teenagers; and 21% occurring between the ages of 20 and 29. Women have been diagnosed with the tumour about twice as often as men. ^2-3 The tumour is typically linked to teeth that have not yet erupted, usually lateral incisors or canines.⁴In terms of its etiology, the lesion starts from the odontogenic epithelium (remaining dental lamina or enamel organ), which in turn influences the odontogenic ectomesenchyme and produces dentinoid material.⁵ It frequently results in shifting of neighbouring teeth and the expanding of surrounding bone. However, because the lesion grows slowly, patients may put up with the swelling for years before it manifests as a noticeable deformity.⁶ The tumour typically shows up on radiography as a well-defined, unilocular radiolucency that may be connected to an unerupted tooth, generally a canine.⁷The preferred course of treatment has been thought to be conservative surgical enucleation. Following the full excision of the tumour, membrane-guided tissue regeneration is advised for periodontal intrabony abnormalities brought on by AOT. ⁸ AOT recurrence is quite uncommon. ⁹ The prognosis is therefore very good. Here, we describe a rare instance of AOT in a 23-year-old man.