Adenomatoid Odontogenic Tumor (AOT) is an uncommon odontogenic tumor that is considered a hamartomatous lesion rather than a true neoplasm. It is most frequently diagnosed in females in the second decade of life and commonly located in the anterior maxilla. Radiographically, it appears as a well-circumscribed pericoronal radiolucency, while histopathologically it is characterized by the formation of duct-like structures. Enucleation is the treatment of choice, and the prognosis is good with a low recurrence rate. We present a documented case of AOT causing progressive facial swelling and nasal obstruction in a 15-year-old male.