| Summary: | Adenomatoid Odontogenic Tumor (AOT) was considered a variant of the ameloblastoma, being called “adenoameloblastoma”; however, its clinical characteristics and biological behavior indicate that it is a separate entity. It has probable origin of the remnants of the dental blade. Patient EWRO, male, 16 years old, leucoderma, in routine care by the orthodontist, presented a radiolucent, sclerotic borders image, inverted drop shape, between the canine and the lateral incisor and superiorly the margim the floor of the nasal cavity, in addition to superficially, expanding the vestibular wall compromising its integrity suggesting injury. The patient was referred to the Bucomaxillofacial Surgery and Traumatology Service of the Hospital Beneficencia Portuguesa de Bauru. After completing a clinical and complementary examination, the patient had a diagnostic hiphotesys of AOT, and the Partsch II Technique with Immediate Suture was recommended for removal. Although presenting confused diagnosis to the clinical dentist surgeon, the AOT has peculiar features and invasive surgical treatment, since its removal is brief and the correct surgical care is an injury of unlikely recurrence and possible rehabilitation.
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