Surgical Mx of maxillary AOT in a paediatric patient
Adenomatoid odontogenic tumor (AOT) is a rare odontogenic tumour that is frequently misdiagnosed as odontogenic cyst. It is a tumor lined by odontogenic epithelium in a variety of histoarchitectural patterns, which are embedded in a mature connective tissue stroma. It is mostly seen in young patients with a greater predilection for females.

A 6.5-year-old male patient was referred to the department of maxillofacial surgery with a chief complaint of swelling in the maxillary alveolar region. The medical history was non contributory. Intraoral examination disclosed a nontender expansion of the left maxilla, covered by normal mucosa.

The patient had no nerve deficit or adenopathy in the face or neck. An orthopantomogram revealed the presence of a significant unilocular radiolucent area with well-defined sclerotic borders, involving an embedded upper left permanent canine and second premolar. Radiographically, the first permanent premolar was found to be missing.

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