Article: Volume 10 Number 4 Page 132 - October 2017

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  Orth Update 2017; 10: 132-138

Orthodontics:  Managing the Adenomatous Odontogenic Tumour (AOT): A Case Series

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Abstract: This article aims to alert clinicians to the presentation and management of the adenomatous odontogenic tumour (AOT). AOTs are unusual benign lesions, often associated with unerupted teeth. They commonly present in the second decade of life and may be particularly relevant to the orthodontist and general dental practitioner, as they may coincide with the age of referral for impacted teeth. The AOT can encapsulate the crown and root of the tooth, resulting in bucco-lingual expansion and can be relatively painless with few or no subjective symptoms. It is important to be aware of this lesion in the maxillofacial region to ensure correct management of this tumour and involvement of any associated teeth.

Clinical relevance: It is important for referring practitioners to be aware of the multifactorial aetiology of impacted teeth and the timeliness of referral. These anomalies require a multidisciplinary input from both the orthodontic and oral and maxillofacial team. The tumour can result in a three-dimensional thinning of the alveolar bone, resulting in an overall poor long-term prognosis of any involved teeth, particularly during orthodontic alignment.

Author notes: Joyti Vasudev, BDS, MJDF, MOrth, MPhil, FDS, Orthodontics Consultant, East Surrey Hospital and Queen Mary’s Hospital, Jaspal Panesar, BDS, FDS RCS(Eng), MSc, MOrth RCS(Eng), FDS(Orth) RCS(Eng), PCME FHEA, Consultant Orthodontist, Good Hope Hospital, Birmingham Dental Hospital, Rognvald Linklater, BDS, FDS RCS(Eng), MSc, MOrth RCS(Ed), FDS (Orth) RCS(Eng), Consultant Orthodontist, Warwick Hospital and Birmingham Dental Hospital and Jason Green, MSc, FDS RCS, FRCS(OMFS) , MBBS, FRCS, Consultant in Oral and Maxillofacial Surgery, Queen Elizabeth Hospital, Birmingham and Robert Kelly, BA, BDentSci, MFDJ, FHEA, Specialist Trainee Endontology, King’s College London, UK.

Objective: To recognize the importance of the adenomatous odontogenic tumour as part of differential diagnosis when managing impacted teeth.

Kavo Kerr