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Title: Conservative treatment of a unicystic ameloblastoma by marsupialization with a favorable response: A case report and review of the literature
Authors: Demir, E.
Gunhan, O.
Keywords: Ameloblastoma
jaw cysts
jaw neoplasms
odontogenic tumors
antibiotic agent
basement membrane
bone resection
case report
clinical article
clinical examination
clinical feature
computer assisted tomography
conservative treatment
decompression surgery
dental impression
follow up
fracture healing
human tissue
incisional biopsy
middle aged
mouth hygiene
panoramic radiography
periodontal disease
postoperative period
recurrent disease
squamous epithelium
tooth disease
treatment response
unicystic ameloblastoma
Issue Date: 2023
Publisher: Wolters Kluwer Medknow Publications
Abstract: 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.
ISSN: 1735-3327
Appears in Collections:Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection

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