Conservative surgical treatment in young patient with unicistic ameloblastoma: case report
DOI:
https://doi.org/10.33448/rsd-v9i11.9380Keywords:
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.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Miquéias Oliveira de Lima Júnior; Arthur José Barbosa de França; Cauê Fontan Soares; Valéria Karen De Oliveira Silva; Riedel Frota Sá Nogueira Neves; Paloma Rodrigues Genu; Amanda Vanessa Lira dos Santos Lima; Ricardo José de Holanda Vasconcellos
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.