Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제50권3호
  • /
  • Pages.170-174
  • /
  • 2024
  • /
  • 2234-7550(pISSN)
  • /
  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
권호 표지
DOI QR코드

DOI QR Code

Conservative enucleation for physiologic space closure in adenomatoid odontogenic tumor

  • Kezia Rachellea Mustakim (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Mi Young Eo (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Hye-Jung Yoon (Department of Oral Pathology, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Soung Min Kim (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University)
  • 투고 : 2023.07.06
  • 심사 : 2023.08.28
  • 발행 : 2024.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Adenomatoid odontogenic tumor (AOT) is a rare, asymptomatic, slow-growing benign tumor that can be divided into three variants: follicular, extrafollicular, and peripheral. By treating AOT using an enucleation and curettage approach, recurrence can be avoided. We report a case of a 24-year-old female who presented with a lump in the right mandibular premolar area along with diastema between displaced teeth #43 and #44 and was diagnosed with extrafollicular AOT. The patient was managed with enucleation-curettage surgery without additional bone graft procedure along with routine follow-up. A successful outcome without recurrence was achieved, and diastema closure with repositioning of the displaced teeth did not require orthodontic treatment. AOT should be managed via enucleation and curettage to obtain successful outcomes without recurrence. Spontaneous bone regeneration following enucleation can be achieved without guided bone regeneration. Also, diastema closure and repositioning of displaced teeth can occur without orthodontic interventions through physiologic drift.

키워드

과제정보

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (No. 2022R1F1A1069624).

참고문헌

  1. Al-Shimari F, Chandra S, Oda D. Adenomatoid odontogenic tumor: case series of 14 with wide range of clinical presentation. J Clin Exp Dent 2017;9:e1315-21. https://doi.org/10.4317/jced.54216
  2. Philipsen HP, Reichart PA, Zhang KH, Nikai H, Yu QX. Adenomatoid odontogenic tumor: biologic profile based on 499 cases. J Oral Pathol Med 1991;20:149-58. https://doi.org/10.1111/j.1600-0714.1991.tb00912.x
  3. Thakur A, Tupkari JV, Joy T, Hanchate AV. Adenomatoid odontogenic tumor: what is the true nature? Med Hypotheses 2016;97:90-3. https://doi.org/10.1016/j.mehy.2016.10.024
  4. Philipsen HP, Srisuwan T, Reichart PA. Adenomatoid odontogenic tumor mimicking a periapical (radicular) cyst: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:246-8. https://doi.org/10.1067/moe.2002.124767
  5. Lang MJ, Wang YP, Lin HP, Chen HM, Kuo YS. Adenomatoid odontogenic tumor-report of a posterior mandibular case with the presence of ghost cells. J Dent Sci 2015;10:216-22. https://doi.org/10.1016/j.jds.2012.03.027
  6. Ide F, Kikuchi K, Kusama K. Adenomatoid odontogenic tumor revisited. Med Hypotheses 2017;104:35. https://doi.org/10.1016/j.mehy.2017.05.016
  7. Chrcanovic BR, Gomez RS. Adenomatoid odontogenic tumor: an updated analysis of the cases reported in the literature. J Oral Pathol Med 2019;48:10-6. https://doi.org/10.1111/jop.12783
  8. Chuan-Xiang Z, Yan G. Adenomatoid odontogenic tumor: a report of a rare case with recurrence. J Oral Pathol Med 2007;36:440-3. https://doi.org/10.1111/j.1600-0714.2007.00521.x
  9. Raubenheimer EJ, Seeliger JE, van Heerden WF, Dreyer AF. Adenomatoid odontogenic tumour: a report of two large lesions. Dentomaxillofac Radiol 1991;20:43-5. https://doi.org/10.1259/dmfr.20.1.1884853
  10. Vitkus R, Meltzer JA. Repair of a defect following the removal of a maxillary adenomatoid odontogenic tumor using guided tissue regeneration. A case report. J Periodontol 1996;67:46-50. https://doi.org/10.1902/jop.1996.67.1.46
  11. Chiapasco M, Rossi A, Motta JJ, Crescentini M. Spontaneous bone regeneration after enucleation of large mandibular cysts: a radiographic computed analysis of 27 consecutive cases. J Oral Maxillofac Surg 2000;58:942-8; discussion 949. https://doi.org/10.1053/joms.2000.8732
  12. Ettl T, Gosau M, Sader R, Reichert TE. Jaw cysts - filling or no filling after enucleation? A review. J Craniomaxillofac Surg 2012;40:485-93. https://doi.org/10.1016/j.jcms.2011.07.023
  13. Ide F, Mishima K, Kikuchi K, Horie N, Yamachika S, Satomura K, et al. Development and growth of adenomatoid odontogenic tumor related to formation and eruption of teeth. Head Neck Pathol 2011;5:123-32. https://doi.org/10.1007/s12105-011-0253-3
  14. Seo WG, Kim CH, Park HS, Jang JW, Chung WY. Adenomatoid odontogenic tumor associated with an unerupted mandibular lateral incisor: a case report. J Korean Assoc Oral Maxillofac Surg 2015;41:342-5. https://doi.org/10.5125/jkaoms.2015.41.6.342
  15. Terkawi MA, Matsumae G, Shimizu T, Takahashi D, Kadoya K, Iwasaki N. Interplay between inflammation and pathological bone resorption: insights into recent mechanisms and pathways in related diseases for future perspectives. Int J Mol Sci 2022;23:1786. https://doi.org/10.3390/ijms23031786
  16. Jonasson G, Skoglund I, Rythen M. The rise and fall of the alveolar process: dependency of teeth and metabolic aspects. Arch Oral Biol 2018;96:195-200. https://doi.org/10.1016/j.archoralbio.2018.09.016
  17. Teng F, Du FY, Chen HZ, Jiang RP, Xu TM. Three-dimensional analysis of the physiologic drift of adjacent teeth following maxillary first premolar extractions. Sci Rep 2019;9:14549. https://doi.org/10.1038/s41598-019-51057-4