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Ameloblastic Fibro-Odontoma Misidentified as an Enamel Pearl

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Ameloblastic fibro-odontoma (AFO) is a rare, benign, and mixed odontogenic tumor that consists of both ectodermal and mesenchymal elements. AFO is more prevalent in young children and adolescents than in adults and is usually found in the molar area associated with a failure of tooth eruption. The purpose of this report is to discuss the differential diagnosis and treatment of a three-year-old girl diagnosed with an AFO around a primary canine. The manifestations of the lesion resembled localized periodontal disease caused by an enamel pearl. Excision and curettage were done and the separated dental hard tissue was confirmed from the enamel structure of the primary canine. In addition to the hard tissue, pulpy and soft tissues were removed together and were histologically examined, confirming the diagnosis of AFO.
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Keywords: AMELOBLASTIC FIBRO-ODONTOMA; CHILD; ENAMEL PEARL; ORAL PATHOLOGY; PEDIATRIC DENTISTRY

Document Type: Case Report

Affiliations: 1: Dr. Lee is a fellow, Department of Pediatric Dentistry, Pusan National University Dental Hospital, Yangsan-si, Gyeongsangnam-do, South Korea 2: Dr. Shin is an assistant professor, Yangsan-si, Gyeongsangnam-do, South Korea 3: Dr. Kim is a professor, Yangsan-si, Gyeongsangnam-do, South Korea 4: Dr. Jeong is a professor, Department of Pediatric Dentistry, School of Dentistry, Pusan National University and Pusan National University Dental Hospital, Yangsan-si, Gyeongsangnam-do, South Korea;, Email: [email protected]

Publication date: January 1, 2020

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  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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