ADENOMATOID ODONTOGENIC TUMOR: A SURGICAL APPROACH

• Published in: Oral surgery, oral medicine, oral pathology and oral radiology oral medicine, oral pathology and oral radiology, 2020-09, Vol.130 (3), p.e194-e195
• Main Authors: SILVA, CLESLANNY KEVINNY MOREIRA DA, BARROS, JOÃO VITOR BRASIL ALVES RODRIGUES ALMEIDA, ALVES, KAYO COSTA, FRANCELINO, MARCIA KAROLINE DA SILVA, JUNIOR, MARCUS ANTONIO BRÊDA, NOGUEIRA, RICADOR VIANA BESSA
• Format: Article
• Language: English
• ISSN: 2212-4403; 2212-4411
• DOI: 10.1016/j.oooo.2020.04.402

A patient had painless volume in the mandibular region, buccal cortical expansion between premolars and facial asymmetry, with no drainage, and anterior teeth with pulp vitality. Radiography showed a radiolucent lesion from the tooth 35 to 45, with 33 impacted. Suction puncture with 12 mL of citrus yellow liquid. The decompression and insertion of irrigation device with saline solution 0.9% was performed. The material was sent for anatomopathologic examination with results indicating an injury compatible with adenomatoid odontogenic tumor. Axial and coronal computed tomography of postdecompression control was performed, showing new bone formation and lesion reduction. The patient underwent general anesthesia for enucleation of the tumor. Local anesthesia (lidocaine 2% with epinephrine 1:100,000) was used in the anterior mandibular region. Intrasulcular incision of element 47 to 37 was performed. Mucoperiosteal detachment and exposure of the lesion, enucleation, and preservation of the teeth to reduce postoperative sequelae were performed. The 3.1-cm lesion was enucleated. There were no postoperative complications. Regression of bone expansion and facial symmetry has occurred during observation for 3 years.