Conservative surgical treatment in young patient with unicistic ameloblastoma: case report

Authors

DOI:

https://doi.org/10.33448/rsd-v9i11.9380

Keywords:

Ameloblastoma; Mandible; Therapeutics.

Abstract

The objective of this study is to present the clinical case of a 14-year-old male patient diagnosed with unicystic ameloblastoma in the posterior region of the right mandible involving dental elements 47 and 48. The lesion was discovered in a routine imaging exam for installation of an orthodontic appliance and after evaluation of the patient, who had no associated symptoms, a less invasive treatment was proposed, through biopsy, enucleation of the lesion and installation of a decompression device at the same surgical time. After confirmation through the histopathological report of ameloblastoma, the patient has been in outpatient follow-up for 2 years, presenting a satisfactory response to treatment, with bone regeneration in the area of ​​the defect and no complaints or signs of recurrence so far. Although there is no consensus on the best therapeutics for unicystic ameloblatoma, more conservative approaches have been shown to be effective in the treatment of young patients, thus allowing the maintenance of mandibular morphology and growth.

References

Adeel, M., Rajput, M. S. A., Arain, A.A., Baloch, M., & Khan, M. (2018). Ameloblastoma: Management and Outcome. Cureus, 10(10), e3437.

El-Naggar, A.K., Chan, J.K.C., Grandis, J.R., Takata, T. World Health Organization Classification of tumors. Pathology and Genetics of Head and Neck tumors. 4th Lyon: IARC Press; 2017.

Hsu, M.-H., Chiang, M.-L., & Chen, J.-K. (2014). Unicystic ameloblastoma. Journal of Dental Sciences, 9(4), 407-11.

Johnson, N. R., Gannon, O. M., Savage, N. W., & Batstone, M. D. (2014). Frequency of odontogenic cysts and tumors: a systematic review. Journal of Investigative and Clinical Dentistry, 5(1), 9-14.

Laborde, A., Nicot, R., Wojcik, T., Ferri, J., & Raoul, G. (2017). Ameloblastoma of the jaws: Management and recurrence rate. European Annals of Otorhinolaryngology, Head and Neck diseases, 134(1), 7-11.

Meshram, M., Sagarka, L., Dhuvad, J., Anchlia, S., Vyasi, S., & Shah, H. (2017). Conservative management of unicystic ameloblastoma in young patients: a prospective single-centre trial and review of literature. Journal of Maxillofacial and Oral Surgery, 16(3), 333-341.

Nascimento, M. A., Cavalcante, W. R. J., Cardoso, S. V., Henriques, J. C. G., & Silva, C. J. (2017). Ameloblastoma unicístico em criança: relato de caso. Revista Odontológica Brasileira Central, 26(77), 53-56.

Neagu, D., Escuder-de la Torre, O., Vázquez-Mahía, I., Carral-Roura, N., Rubín-Roger, G., Penedo-Vázquez, A., ... López-Cedrún-Cembranos, J.-L. (2019). Surgical management of ameloblastoma. Journal of Clinical and Experimental Dentistry, 11(1), e70-5.

Rikhotso, R. E., & Premviyasa, V. (2019). Conservative treatment of Ameloblastoma in a paediatric patient: A case report. Journal of Oral and Maxillofacial Surgery, 77(8), 1643-1649.

Santana, K. M., Pessoa, R. S., & Horiuchi, N. C. F. N. (2019). Ameloblastoma e suas características clínicas e radiográficas: relato de caso clínico. Revista Odontológica de Araçatuba, 40(2), 48-53.

Seintou, A., Martinelli-Klay, C.P., & Lombardi, T. (2014). Unicystic ameloblastoma in children: systematic review of clinicopathological features and treatment outcomes. International Journal of Oral and Maxillofacial Surgery, 43(4), 405-412.

Soluk-Tekkeşin, M., & Wright, J. M. (2018). The World Health Organization Classification of Odontogenic Lesions: A Summary of the Changes of the 2017 (4th) Edition. Türk Patoloji Derneği, 34(1), 1-18.

Takahashi, S., Idaira, Y., Sato, T., Asada, Y., & Nakagawa, Y. (2019). Unicystic Ameloblastoma in a Child Treated with a Combination of Conservative Surgery and Orthodontic Treatment: A Case Report. Journal of Clinical Pediatric Dentistry, 43(2),121-125.

Tolentino, E. S. (2018). Nova classificação da OMS para tumores odontogênicos: o que mudou?. Revista da Faculdade de Odontologia – UPF, 23(1), 119-123.

Wright, J. M., & Soluk-Tekkeşin, M. (2017). Odontogenic tumors: where are we in 2017?. Journal of Istanbul University Faculty of Dentistry, 51(3 Suppl 1), S10-S30.

Published

06/12/2020

How to Cite

LIMA JÚNIOR, M. O. de; FRANÇA, A. J. B. de .; SOARES, C. F.; SILVA, V. K. D. O. .; NEVES, R. F. S. N. .; GENU, P. R. .; LIMA, A. V. L. dos S. .; VASCONCELLOS, R. J. de H. . Conservative surgical treatment in young patient with unicistic ameloblastoma: case report. Research, Society and Development, [S. l.], v. 9, n. 11, p. e8909119380, 2020. DOI: 10.33448/rsd-v9i11.9380. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/9380. Acesso em: 27 apr. 2024.

Issue

Section

Health Sciences