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

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 a...

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Autores principales: Demir, Esin, Gunhan, Omer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9937930/
https://www.ncbi.nlm.nih.gov/pubmed/36820135
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author Demir, Esin
Gunhan, Omer
author_facet Demir, Esin
Gunhan, Omer
author_sort Demir, Esin
collection PubMed
description 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.
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spelling pubmed-99379302023-02-19 Conservative treatment of a unicystic ameloblastoma by marsupialization with a favorable response: A case report and review of the literature Demir, Esin Gunhan, Omer Dent Res J (Isfahan) Case Report 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. Wolters Kluwer - Medknow 2023-01-18 /pmc/articles/PMC9937930/ /pubmed/36820135 Text en Copyright: © 2023 Dental Research Journal https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Demir, Esin
Gunhan, Omer
Conservative treatment of a unicystic ameloblastoma by marsupialization with a favorable response: A case report and review of the literature
title Conservative treatment of a unicystic ameloblastoma by marsupialization with a favorable response: A case report and review of the literature
title_full Conservative treatment of a unicystic ameloblastoma by marsupialization with a favorable response: A case report and review of the literature
title_fullStr Conservative treatment of a unicystic ameloblastoma by marsupialization with a favorable response: A case report and review of the literature
title_full_unstemmed Conservative treatment of a unicystic ameloblastoma by marsupialization with a favorable response: A case report and review of the literature
title_short Conservative treatment of a unicystic ameloblastoma by marsupialization with a favorable response: A case report and review of the literature
title_sort conservative treatment of a unicystic ameloblastoma by marsupialization with a favorable response: a case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9937930/
https://www.ncbi.nlm.nih.gov/pubmed/36820135
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