SURGICAL TREATMENT AND REHABILITATION OF AMELOBLASTOMA: REPORT OF TWO CASES

A 46-year-old man visited an oral and maxillofacial center with a complaint of a left mandibular branch lesion that had been increasing in size over two years and occasionally bled. Imaging and blood tests were ordered, and an incisional biopsy confirmed the diagnosis of multicystic ameloblastoma. S...

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Published in:Oral surgery, oral medicine, oral pathology and oral radiology Vol. 137; no. 6; pp. e221 - e222
Main Authors: ECHEVENGUÁ, Maria Victória Feijó, BARIN, Luisa Machado, CZORNOBAY, Luiz Fernando Monteiro, CASTELAN, Gabriele Cadorin, RIBEIRO, Júlia Longo, LUZ, Everton Thiago, da SILVA, Heitor Fontes
Format: Journal Article
Language:English
Published: Elsevier Inc 01-06-2024
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Summary:A 46-year-old man visited an oral and maxillofacial center with a complaint of a left mandibular branch lesion that had been increasing in size over two years and occasionally bled. Imaging and blood tests were ordered, and an incisional biopsy confirmed the diagnosis of multicystic ameloblastoma. Subsequently, the mandible was resected and reconstructed using a plate and iliac crest bone graft, secured with two additional miniplates, totaling 20 miniscrews. A one-year follow-up examination revealed no signs of recurrence. In another case, a 78-year-old woman came to an oral and maxillofacial center with a 17-year history of a lesion in the left maxilla that had been previously removed but recurred. Imaging and blood tests were conducted, with tomographic findings showing a unilocular hypodense lesion. The lesion was excised and diagnosed as unicystic ameloblastoma. To facilitate rehabilitation, a prosthetic treatment plan was necessary. After a three-year follow-up, there were no signs of recurrence. The surgical management of ameloblastoma can result in extensive and challenging surgical and prosthetic rehabilitation.
ISSN:2212-4403
2212-4411
DOI:10.1016/j.oooo.2023.12.360