Adenomatoid odontogenic tumors are lesions that are characterized by a female:male incidence of 2:1, occurrence in the second decade and location in the anterior jaw with a maxilla: mandible ratio of 2:1. They may be associated with impacted teeth.
They are usually a unilocular on radiographs with a sharp border and may contain fine "snowflake" radio-opacities.
Microscopically they show spindle shape epithelial cells that form rosettes and duct like structures as well as showing amyloid formation and mineralization.
These lesions are treated conservatively and enucleation may suffice. The recurrence rate is low.
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