CASE REPORT
Adenomatoid odontogenic tumour – two case reports.
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1
Department of oral medicine and oral surgery, University Dental Clinic of Monastir, Tunisia
2
department of oral medicine and oral sugery, university dental clinic of monastir, Tunisia
3
department of oral medicine and oral surgery, University dental clinical of Monastir, Tunisia
4
department of oral medicine and oral surgry, university dental clinic of monastir, Tunisia
5
department of oral medicine and oral surgery, university dental clinic of monastir, Tunisia
Submission date: 2025-09-14
Acceptance date: 2025-12-02
Publication date: 2025-12-10
Corresponding author
Soumaya Zaalouni
Department of oral medicine and oral surgery, University Dental Clinic of Monastir, monastir, 5019, Monastir, Tunisia
Prosthodontics 2025;75(4):405-412
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ABSTRACT
Adenomatoid Odontogenic Tumour (AOT) is an
uncommon, benign odontogenic tumour affecting
predominantly young females and occurring
typically in the anterior maxillary region. This
paper aims to report two clinical cases of AOT,
emphasizing the clinical, radiographic, and
histopathological features of this tumour.
The first case involves a 24-year-old male who
presented to the Oral Medicine and Oral Surgery
Department with a hard, painless gingival
swelling in the right maxillary canine area. The
second case concerns a 30-year-old male patient
with epilepsy, who was referred by his orthodontist
following the incidental radiographic finding
of an impacted canine associated with a mixed
radiolucent-radiopaque lesion. Both patients
underwent surgical enucleation of the lesions.
The diagnosis of AOT was confirmed with
histopathological examination in each case.
AOT is a slowly growing, often asymptomatic
tumour, frequently associated with impacted
teeth, especially maxillary canines. Management
typically involves conservative surgical removal,
with a low risk of recurrence.
These cases underscore the importance of early
detection and accurate diagnosis, and emphasize
the importance of clinical and radiographic
evaluation to ensure effective management of this
rare odontogenic neoplasm.