Practice abstract


British Dental Journal 199, 89 - 90 (2005)
Published online: 23 July 2005 | doi:10.1038/sj.bdj.4812522

Salvage of an impacted canine associated with an adenomatoid odontogenic tumour: A case report

M H K Motamedi1, H A Shafeie2 & T Azizi3

  • The adenomatoid odontogenic tumour (AOT) is a rare tumour of the jaws with completely benign behaviour.
  • Treatment of this lesion is via surgical curettage and recurrence seldom if ever occurs. It is ironic that it has been advocated to extract teeth associated with an AOT despite this fact.
  • Extraction of the permanent dentition in adolescents is not always in the best interests of the patient especially if it is aesthetically or functionally strategic.
  • This study describes the treatment of an adolescent girl for an impacted mandibular canine associated with an AOT.


The adenomatoid odontogenic tumour (AOT) has been known by a number of descriptive names (adenoameloblastoma, ameloblastic adenomatoid tumour, glandular ameloblastoma, and adenomatoid ameloblastoma) since it was first reported and later recognised as a distinct odontogenic lesion unrelated to ameloblastoma. Although it was considered to be a variant of ameloblastoma at one time leading surgeons to perform unduly aggressive surgery, the treatment outcome experience has borne out the benign, nonaggressive nature of this lesion. The AOT is now considered to be a hamartoma with completely benign behaviour. Recurrence seldom if ever occurs after surgical curettage.1, 2, 3, 4 Thus, it appears needless to extract involved anterior teeth associated with the tumour, especially in children. We report a case in which surgical and orthodontic treatment helped to salvage an impacted mandibular canine associated with an AOT in an adolescent girl. We have not found such a procedure to have been done for this tumour in the literature.

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  1. Associate Professor of Oral and Maxillofacial Surgery, Clinic of Oral and Maxillofacial Surgery and Trauma Research Center, Baqiyatallah University of Medical Sciences / Attending Surgeon, Department of OMFS and Implantology, Azad University of Medical Sciences, Tehran, IR Iran
  2. Assistant Professor of Orthodontics, Department of Orthodontics, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
  3. Assistant Professor of Oral and Maxillofacial Pathology, Baqiyatallah University of Medical Sciences, Tehran, IR Iran.

Correspondence to: M H K Motamedi1 Africa Expressway, Golestan Street, Giti Blvd. No. 11 Tehran, 19667, IR Iran
Email:e-mail: motamedical@lycos.com


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