Revista Naval de Odontologia On Line (Jun 2020)

CLINICAL PATHOLOGICAL CHARACTERISTICS AND TREATMENT OF UNICYSTIC AMELOBLASTOMA: CASE REPORT

  • Gilberto Abdala Silva,
  • João César Guimarães Henriques,
  • Fabio Franceschini Mitri,
  • Anaíra Ribeiro Guedes Fonseca Costa,
  • Jonas Dantas Batista

DOI
https://doi.org/10.29327/25149.47.2-4
Journal volume & issue
Vol. 47, no. 2
pp. 35 – 42

Abstract

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Ameloblastomas are a type of epithelial benign odontogenic tumor which is locally invasive, slow-growing and presents considerable recidive rates. It is considered the most clinically relevant benign odontogenic tumor, currently being classified as “ameloblastoma”, “unicystic ameloblastoma”, “peripheral or extraosseous ameloblastoma” and “metastatic ameloblastoma”. The unicystic type is the second most prevalent ameloblastoma, occurring in approximately 15% of all ameloblastomas, showing specific characteristics, especially in younger patients. This study verifies the characteristics of this ameloblastoma variant by analyzing the case report of the care of a young adult patient affected by jaw tumor, clinical localization, imaginological histopathological, therapeutic and prognostic aspects involved. In this case, the initial treatment was the marsupialization of the lesion, and afterwards the enucleation with peripheral ostectomy and extraction of the affected teeth. This treatment option has shown good results, decreasing the patients damage when properly indicated, for this, an early and assertive diagnosis is essential, associating clinical and histopathological characteristics. The patient is kept under careful follow-up, since the proliferation pattern of mural type requires more attention given its higher chances of recurrence.

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