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Case Reports in Dentistry
Volume 2015, Article ID 812087, 4 pages
http://dx.doi.org/10.1155/2015/812087
Case Report

Ameloblastic Fibrodentinoma Presenting as a False Gingival Enlargement in the Maxillary Anterior Region

1Department of Periodontics, Al-Azhar Dental College, Thodupuzha, Kerala, India
2Department of Oral Pathology and Microbiology, Al-Azhar Dental College, Thodupuzha, Kerala, India
3Department of Oral and Maxillofacial Surgery, Al-Azhar Dental College, Thodupuzha, Kerala, India
4Department of Oral Medicine and Radiology, Al-Azhar Dental College, Thodupuzha, Kerala, India
5Department of Pedodontics, Al-Azhar Dental College, Thodupuzha, Kerala, India

Received 21 October 2014; Revised 1 January 2015; Accepted 5 January 2015

Academic Editor: Junichi Asaumi

Copyright © 2015 Shiny Joseph et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Ameloblastic fibrodentinoma is a rare benign mixed odontogenic neoplasm usually occurring in the first two decades of life. It is more common in males and the most common site of occurrence is in the mandibular premolar molar area. This report presents a case of ameloblastic fibrodentinoma in a 12-year-old boy in the maxillary anterior region, a less common site for the occurrence of ameloblastic fibrodentinoma. A 12-year-old boy presented with a midline diastema in 11 and 21 region and a swelling in the palatal aspect of 11 and 12. Intraoral periapical radiograph showed the presence of rarefaction of bone on the mesial aspect of the cervical and middle third of the root of 11. Excision biopsy was done. The specimen was processed and stained with hematoxylin and eosin. Microscopic examination showed islands, chords and strands of odontogenic epithelium in a primitive ectomesenchyme resembling dental papilla. The odontogenic epithelium exhibited peripheral ameloblast-like and central stellate reticulum-like cells. The presence of dentinoid material was seen adjacent to the odontogenic epithelium in some foci. The lesion was diagnosed as ameloblastic fibrodentinoma.