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- Title
Conservative treatment of mural unicystic ameloblastoma with posterior rehabilitation by implants: A dilemma in oral surgery.
- Authors
Santos, Maryana Cruz; de Gois Andrade, Gabriela Vilanova; da Mota Santana, Lucas Alves; Sabey, Mark Jon Santana; Barbosa, Breno Ferreira; de Albuquerque, Hélio Igor Melo; Floresta, Lara Góis; Gonçalo, Rani Iani Costa; Queiroz, Lélia Maria Guedes; Ayres, Lucas Celestino Guerzet
- Abstract
Probably, this pathophysiological mechanism may have occurred in our case, once both lesions share cystic morphology as well as epithelial lining of odontogenic nature. Ameloblastoma is a benign epithelial odontogenic tumour, although it shows an aggressive behaviour with high recurrence rates in jaws.[1] Several studies have associated its pathogenesis with mutation in BRAF gene (MAPK/ERK pathway), being this a potential target to the development of inhibitory therapies.[[2]] Traditionally, the main therapeutic modalities to ameloblastoma include surgical resection and conservative approaches to solid and unicystic forms, respectively.[4] However, the risk associated with these interventions, such as aesthetic damage, morbidity and potential of recurrence, has provoked controversy about the best treatment option.[5] Besides, some cases of unicystic ameloblastoma (UA) may require radical intervention, especially mural subtype.[6] In order to clarify this question, we report here a case of an aggressive mural UA treated with a conservative approach and detailed clinical-radiographic and histological follow-up. Intraoral examination revealed a slight bulging in the buccal region of the lower left molars, with an absence of mobility of dental units in contact with the lesion (Figure 1A).
- Subjects
AMELOBLASTOMA; ORAL surgery; CONSERVATIVE treatment; MURAL art; HYOID bone; DILEMMA
- Publication
Oral Surgery (1752-2471), 2023, Vol 16, Issue 4, p384
- ISSN
1752-2471
- Publication type
Article
- DOI
10.1111/ors.12829