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Minerva Stomatologica 2011 January-February;60(1-2):57-63

Copyright © 2011 EDIZIONI MINERVA MEDICA

language: English

A case of ameloblastic fibroma treated with surgery and orthodontic therapy

Grecchi F. 1, Zollino I. 2, Lucchese A. 2, Bianco R. 1, Brunelli G. 2, Carinci F. 2

1 Maxillofacial Surgery, Galeazzi Hospital, Milan, Italy; 2 Maxillofacial Surgery, University of Ferrara, Ferrara, Italy


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Ameloblastic fibroma (AF) of the jaw is a rare, benign, mixed odontogenic tumour of ecto-mesenchymal odontogenic origin. The name of AF indicates a non-aggressive behaviour. However, a large series of AF revealed that its recurrent rate at 10 years after operation is approximately 70%. Here we report a case of AF in the mandible of a 12-year-old girl treated with a conservative enucleation. Because of the impossibility to align the teeth, an orthodontic treatment was then done. No complication was recorded in the post-operative period and no further surgery was performed. The complete mandibular resolution after 10-year-follow-up, together with the rarity of the pathology, makes this case worthy of description because a correct diagnosis and a proper therapy led this lesion removable with a conservative method.

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