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BMC oral health · 2026

Conservative management of extensive maxillary adenomatoid odontogenic tumor with a customized cyst plug: a case report emphasizing differential diagnosis and bone regeneration.

СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
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Ma Zuwen, Chen Guangwei, Wu Huilin, Li Weifa, Zhou Libin

Аннотация

BACKGROUND: This case report describes a large maxillary adenomatoid odontogenic tumor (AOT) initially misdiagnosed as a dentigerous cyst (DC) and highlights the postoperative use of a customized cyst plug to manage a palatal bone defect without bone grafting.

CASE PRESENTATION: A 13-year-old girl presented with anterior maxillary swelling and a unilocular radiolucent lesion associated with an impacted canine. The lesion was initially diagnosed as a DC. Intraoperative findings prompted histopathologic examination, which confirmed AOT. A postoperative palatal bone defect was subsequently managed with a customized cyst plug. At 18-month follow-up, radiographic bone fill and satisfactory clinical healing were observed without additional grafting.

CONCLUSIONS: This case underscores both the diagnostic overlap between AOT and DC and the potential role of a customized cyst plug as a graft-sparing postoperative support in selected patients with large defects. Given the single-case design, therapeutic efficacy cannot be established, and further comparative studies are warranted.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты