Observation: We present a case of a 21-year-old Pakistani female with hypoplastic amelogenesis imperfecta (AI), microdontia, and multiple gingival swellings overlying impacted teeth. The gingival swellings were diagnosed as AI-associated odontogenic fibroma (OF)-like lesions on histology. Commentary: AI is an inherited enamel defect that may present in association with microdontia, root abnormalities, taurodontism, pulp stones, gingival hyperplasia, and rarely, gingival tumors. These gingival

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... mors share histologic features with odontogenic fibroma (OF), a benign odontogenic neoplasm, and are referred to as AI-associated OF-like lesions in the literature. Conclusion: AI-associated OF-like lesions are rare, this case will inform oral surgeons and other dental practitioners about this process and its management.