ArticleBMC oral health2026
Conservative management of extensive maxillary adenomatoid odontogenic tumor with a customized cyst plug: a case report emphasizing differential diagnosis and bone regeneration.
Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThis 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.
conclusionsThis 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.
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