Conservative treatment of a unicystic ameloblastoma by marsupialization with a favorable response: A case report and review of the literature

Wolters Kluwer Medknow Publications 2023-07-14T20:18:46Z 2023-07-14T20:18:46Z 2023

Ameloblastoma is a benign tumor of odontogenic epithelium which is slow growing, locally invasive, expansive that may result with asymmetries of the face. Conservative treatment of odontogenic tumors with marsupialization is not common but can be done successfully in those with cystic pattern. The aim of this case and literature review is to propose marsupialization as an initial procedure for its treatment. We have presented a case of an ameloblastoma involving 56-year-old male patient. Orthopantomography and computed tomography showed the lesion extended between the right molar region and left molar region of mandible with both buccal and lingual expansion and root resorptions. On clinical examination, expansions of mandible and slight tooth mobilities were seen. An incisional biopsy was carried out and histopathologic examination revealed ameloblastoma although clinical features of lesion were more suggestive of cyst. Our case was treated by obturator marsupialization with a good healing. This case and review of the literature discusses the available treatment option according to macroscopic features of jaw lesions and emphasizes on the importance of the most conservative treatment option. Conservative treatment preserves integrity of bones while radical treatment can leave major cosmetic and functional sequelae such as pathologic fractures, complication with reconstruction plates. © 2023 Wolters Kluwer Medknow Publications. All rights reserved.

jaw cysts; Ameloblastoma; jaw neoplasms; odontogenic tumors; antibiotic agent; cholesterol; silicone; adult; Article; basement membrane; bone resection; case report; clinical article; clinical examination; clinical feature; computer assisted tomography; conservative treatment; decompression surgery; dental impression; enucleation; follow up; swelling; fracture healing; histopathology; human; human tissue; incisional biopsy; keratocyst; male; marsupialization; middle aged; mouth hygiene; osteotomy; panoramic radiography; periodontal disease; polarization; pomade; postoperative period; recurrent disease; squamous epithelium; tooth disease; treatment response; unicystic ameloblastoma; Article

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English

TRTET oai:gcris.etu.edu.tr:20.500.11851/10519
1735-3327
20
1
10
2-s2.0-85149654567
10.4103/1735-3327.367909
Q3
1426268257

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