Unicystic Ameloblastoma: Implant- supported Reconstruction and Long-Term Follow-up
|
|
- Aleesha Gray
- 5 years ago
- Views:
Transcription
1 OLGU RAPORU (Case Report) Hacettepe Dişhekimliği Fakültesi Dergisi Cilt: 31, Sayı: 2, Sayfa: 49-53, 2007 Unicystic Ameloblastoma: Implant- supported Reconstruction and Long-Term Follow-up Unikistik Ameloblastoma: İmplant Destekli Rekonstrüksiyon ve Uzun Dönem Takip *Celal Tümer DDS, PhD, *Gokce Meral DDS, PhD *Hacettepe University Faculty of Dentistry Department of Oral Surgery ABSTRACT ÖZET Unicystic ameloblastomas and dentigerous cysts have similar clinical and radiographic appearance. Unicystic ameloblastomas generally have a better prognosis than multicystic ameloblastoma because of the greater likehood of complete resection. The present case report provides the 11 year follow-up of a patient with unicystic ameloblastoma who was treated by enucleation. Conservative surgical enucleation with sufficient bone curettage and the use of osseointegrated implants for prosthetic rehabilitation could be useful as predictable treatment of unicystic ameloblastoma. This result extends the indication for conservative treatment of unicystic ameloblastoma and prosthetic planning with osseointegrated implants. Unikistik ameloblastoma ve dentigeröz kistin klinik ve radyolojik bulguları benzerdir. Unikistik ameloblastomaların prognozu radikal rezeksiyon gerektirmedikleri için multikistik ameloblastomalara oranla daha iyidir. Bu makalede enükleasyon ile tedavi edilen ve postoperative 11 yıl takip edilen bir unikistik ameloblastoma olgusu sunulmaktadır. Yeterli kemik küretajı ile enükle edilen unikistik ameloblastoma olgularında protetik rehabilitasyonda osseointegre implantlar kullanılmaktadır. Bu olgu sunumu ve uzun takip sonuçları unikistik ameloblastomanın konservatif tedavi endikasyonunu ve ossointegre implantlarla protetik rehabilitasyonunu vugulamaktadır. KEYWORDS Unicystic ameloblastoma, Dental implant, Treatment, Recurrence ANAHTAR KELİMELER Unikistik ameloblastoma, Dental implant, Tedavi, Rekürrens
2 50 Introduction Ameloblastoma is an odontogenic epithelial neoplasm of tissue characteristic of the enamel organ but not differentiated to the point of enamel formation; it usually originates in the mandibular molar-ramus area and is usually benign but locally invasive 1. Ameloblastomas are often classified on the basis of histologic appearance, the most common subtypes being follicular, cystic, acanthomatous, plexiform, basal cell and granular cell; they are also sometimes classified as multicystic versus unicystic 1,2. Multicystic ameloblastoma, contains multiple cystic spaces; it may exhibit any or all of the histologic patterns described as subtypes of the lesion and is more aggressive and recurs more frequently than does unicystic ameloblastoma 2. The term Unicystic Ameloblastoma(UA) was adopted in the second edition of the international histologic classifications of odontogenic tumors 3,4. UA s account for 10% to 15% of all intra-osseous ameloblastomas in various studies 2. It has a recurrence rate of % and the average interval to recurrence is approximately 7 years 5,6,7. UA s and dentigerous cysts have an similar clinical and radiologic appearance. In most cases UA s are associated with tooth impaction, the mandibular third molar being most often involved 4,6. Eversole et al found that the average age for unilocular impaction associated UA was 22 years, whereas multilocular lesion without impaction occurred at an average age of 33 years 8. UA s are usually treated as cysts by enucleation. The diagnosis of UA is made only after microscopic examination of the presumed cyst. If the ameloblastic elements are confined to the lumen of the cyst with or without intraluminal tumor extension, the cyst enucleation has probably been adequate treatment. The patient, however, should be kept under long-term follow-up. If the specimen shows extension of the tumor into the fibrous cyst wall for any appreciable distance, subsequent management of the patient is more controversial. Some surgeons believe that local resection of the area is indicated as a prophylactic measure, others prefer to keep the patient under close radiographic observation and delay further treatment until there is evidence of recurrence 2. After removal of the large tumors, prosthetic reconstruction may be difficult because of the extensive tissue lost. Mandibular reconstruction with bone grafts and careful prosthetic planning with placement of osseointegrated implants could achieve the successful rehabilitation of patients with unicystic ameloblastoma who underwent large tumor enucleation 9. This case report presents the clinical management of a patient with unicystic ameloblastoma. Treatment is described over a period of 11 years. Case report A 24 year old female patient was referred to Hacettepe University, Dental Faculty, Department of Oral Surgery in September 1993 with a painless swelling in the right mandibular molar region. The patient described initial observation of the swelling approximately 6 months prior to presentation. Clinical examination revealed an expansile lesion in the right mandibular third molar region. Panoramic radiograph demonstrated a unilocular radiolucent area including third molar tooth (Figure 1). An antero-posterior radiograph also showed the large radiolucent area on the right mandibular posterior region (Figure 2). Clinical and radiological features were suggestive of dentigerous cyst. Under general anesthesia enucleation was performed. In addition the impacted teeth were extracted. The bone cavity was filled with allogenic bone graft material (Tutoplast microchips) (Figure 3). The excised lesion was fixed in 10% neutralized buffered formalin and sent for histopathological examination. The lesion was diagnosed as unicystic ameloblastoma with intramural proliferations. Because this diagnosis carries a risk of recurrence, a long-
3 51 FIGURE 1 Preoperative panoramic radiograph which shows unilocular radiolucency and impacted tooth on the right posterior mandibular region term follow-up period was planned. The patient called for panoramic radiographic controls every 6 months (Figure 4). After 5 years of mandibular reconstruction with allogenic bone graft material, appropriate bone healing was observed in the enucleation area and there were no sign of recurrence and one side free-end saddle removable partial denture was performed to achieve patient s functions. At 8 years follow-up appointment patient complaint about the difficulties of using partial denture and wanted to have a fixed reconstruction. A simple prosthetic approach using with a solid secrew implant (ITI implant, Straumann) was planned. 3.3mm in diameter and 12mm in length implant inserted with one stage surgery in the mandibular second molar region to improve the patient s functions and aesthetics. Following the 3 months ossointegration process of the implant prosthetic rehabilitation completed. The patient continues to be followed and now has been disease free for 11 years (Figure 5). Discussion FIGURE 2 Preoperative antero-posterior radiograph FIGURE 3 After the enucleation cavity filled with allogenic bone graft material According to Neville et al, histopathologic variants of the UA described as luminal UA, intraluminal UA, mural UA. In the luminal ameloblastoma the tumor is confined to the luminal surface of the cyst. One or more nodules of ameloblastoma project from the cystic lining into the lumen of the cyst in the intraluminal UA. In the mural UA the fibrous wall of the cyst is infiltrated by typical follicular or plexiform ameloblastoma 2. Enucleation has probably been adequate treatment for intralumenal or luminal UA s 2. Some authors believe that the local resection of the area is indicated as a prophylactic measure if the specimen identified as mural UA, others prefer the conservative enucleation and long-term follow-up to delay further radical treatment until the evidence of recurrence 10,11,12. Gardner discussed the treatment of ameloblastoma on the basis of pathologic and anatomi-
4 52 Implant supported prosthetic rehabilitations in the UA treatments are rarely reported in the literature. Becker and Wong reported an early functional loading case in the fully edentulous mandibular resection and reconstruction due to an ameloblastoma and inserted five implants two years after the removal of the tumor and they concluded that the implants are stable and the patient eating comfortably 16. FIGURE 4 Postoperative follow-up radiograph showed bone healing FIGURE 5 Postoperative 11 year panoramic radiograph with implant rehabilitation cal considerations and stated that recommended treatment for solid and multicystic ameloblastoma was radical treatment and UA was usually cured by curettage 13. Although Nakamura et al adopted more conservative treatment protocol and compare the long-term results of different approaches to ameloblastoma and reported that the conservative approaches for ameloblastoma namely, marsupyalization and enucleation with sufficient bone curettage are useful as predictable treatment methods that reduce the need for jaw resections 14. Gardner et al reported that plexiform UA is less aggressive with a lower recurrence rate after conservative treatment 15. The interval between bone grafting and implant placement in the patients with reconstructed mandibles ranged from 8 to 34 months 17. In the presented case one side free-end saddle removable partial denture was performed for prosthetic rehabilitation 5 years after surgery because more than 50% of all recurrences of UA occur within 5 years of surgery. At the 8 year followup, not only for the patient s complaints about partial denture but also achieve more suitable function and minimum bone lost at the region, an implant supported prosthesis was planned according to the complete bone healing and no sign of recurrence on clinical and radiological examinations. This case presentation supports the conservative treatment of the unicystic ameloblastoma. The benign nature of UA often leads a surgeon to perform simple procedures to avoid the potential morbidity associated with larger resection. Radical surgery often means that the patients have serious complications including facial deformity, masticatory dysfunction and abnormal jaw movement 18. In many cases UA typically appears as a dentigerous cyst so the biopsy should be taken before the surgery. In this case report preoperative diagnosis was made as a dentigerous cyst and enucleation was performed for treatment without preoperative biopsy. Postoperative follow-up is important in the management of UA 19. In this case report a successful outcome of the treatment now has been observed for 11 years, with bone healing, osseointegration of the implant, the provision of functional and aesthetically pleasing implant
5 53 supported prosthesis and the absence of clinical or radiographic evidence of recurrence of the unicystic ameloblastoma As a conclusion more conservative surgical enucleation with sufficient bone curettage and the use of osseointegrated implants for prosthetic rehabilitation could be useful as predictable treatment of unicystic ameloblastoma after the proper follow-up period. Primary bone grafting and osseointegrated implants could be the best option for adequate reconstruction after the treatment of a pathologic lesion in the mandible with the long-term follow-up. More cases of UA with long term follow-up periods (10 year and more) are needed to be reported to give better understanding of all aspects of this lesion. REFERENCES 1. Regezi J, Sciubba J, Richard CK. Oral pathology: Clinical pathologic correlations. 4th Edition Saunders Publishing: 2003; Neville BW, Damm DD, Allen CM, Bouquot JE. Oral&Maxillofacial Pathology. Second Edition W.B. Saunders Company: 2002; Philipsen HP, Reichart PA. Unicystic ameloblastoma: A review of 193 cases from the literature. Oral Oncology 1998; 34: Kramer IRH, Pindborg JJ, Shear M. Histological typing of odontogenic tumors. Berlin: Springer, 1992; Dunsche A, Babendererde O, Lüttges J, Springer IN. Dentigerous cyst versus unicystic ameloblastomadifferential diagnosis in routine histology. J Oral Pathol Med 2003; 32: Reichart PA, Philipsen HP, Sonner S. Ameloblastoma: biological profile of 3677 cases. European J Of Cancer 1995; 31: Isaacson G, Andersson L, Forsslund H, Bodin I, Thompson M. Diagnosis and treatment of the unicystic ameloblastoma. Int J Oral Maxillofac Surg 1986; 15: Eversole LR, Leider AS, Strub D. Radiographic characteristics of cystogenic ameloblastoma. Oral Surg Oral Med Oral Pathol 1984; 57: Turesky JD, Shepherd NJ, Morgan VJ, Muftu A. a simple prosthetic approach using cement-retained implant prosthesis after surgical treatment of ameloblastoma. Implant Dent 1999; 8: Ackermann GL, Altini M, Shear M. The unicystic ameloblastoma: a clinicopathological study of 57 cases. J Oral Pathol 1988; 17: Ueno S, Mushimoto K, Shirasu R. Prognostic evaluation of ameloblastoma based on histologic and radiolographic typing. J Oral Maxillofac Surg 1989; 47: Nakamura N. Clinical and histopathological studies on the characteristics of growth of mandibular ameloblastoma. Jpn J Oral Maxillofac Surg 1991; 37: Gardner DG. A pathologist s approach to the treatment of ameloblastoma. J Oral Maxillofac Surg 1984; 42: Nakamura N, Higuchi Y, Tashiro H, Ohishi M. Marsupyalization of cystic ameloblastoma: a clinical and histopathologic study of the growth characteristics before and after marsupyalization. J Oral Maxillofac Surg 1995; 53: Gardner DG, Corio RL. Plexiform unicystic ameloblastoma: A variant of ameloblastoma with low-recurrence rate after enucleation. Cancer 1984; 53: Becker W, Wong J. Early functional loading in the fully edentulous mandible after mandibular resection and reconstruction due to an ameloblastoma: case report. Clin Implant Dent Relat Res. 2003;5: Papageorge MB, Karabetou SM, Norris LH. Rehabilitation of patients with reconstructed mandibles using osseointegrated implants: clinical report. Int J Oral Maxillofac Implants 1999; 14: Nakamura N, Higuchi Y, Mitsuyasu T, Sandra F, Ohishi M. Comparison of long-term results between different approaches to ameloblastoma. Oral Surg Oral Med Oral Pathol Oral Radiol Oral Endod 2002; 93: Kim SG, Jang HS. Ameloblastoma: A clinical, radiographic and histopathologic analysis of 71 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Oral Endod 2001; 91: CORRESPONDING ADDRESS Gökçe MERAL DDS, PhD Hacettepe University Faculty of Dentistry Department of Oral Surgery Sihhiye Ankara TURKEY Tel: Fax: dmeral@hacettepe.edu.tr
Case Report Unicystic Ameloblastoma with Mural Proliferation Managed by Conservative Treatment
Case Reports in Pathology Volume 2016, Article ID 3089540, 4 pages http://dx.doi.org/10.1155/2016/3089540 Case Report Unicystic Ameloblastoma with Mural Proliferation Managed by Conservative Treatment
More informationUnicystic Ameloblastoma of mandible. Aggresive treatment A myth or a need. Case report and Extensive review of literature
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861. Volume 12, Issue 2 (Nov.- Dec. 2013), PP 26-31 Unicystic Ameloblastoma of mandible. Aggresive treatment A myth
More informationManagement of Plexiform Ameloblastoma in a 12 year old female: A Case Report
Article ID: ISSN 2046-1690 Management of Plexiform Ameloblastoma in a 12 year old female: A Case Report Corresponding Author: Dr. Sheeraz Badal, Senior Lecturer, Dept of Oral & Maxillofacial Surgery, MIDSR,
More informationAmeloblastomatous Gorlin s cyst
319 Journal of Oral Science, Vol. 49, No. 4, 319-323, 2007 Case Report Ameloblastomatous Gorlin s cyst Mala Kamboj 1) and Manish Juneja 2) 1) Department of Oral Pathology and Microbiology, U.P. King George
More informationManagement of Unicystic Plexiform Ameloblastoma in a 12 year Old Female: Report of a Case
Article ID: WMC002613 2046-1690 Management of Unicystic Plexiform Ameloblastoma in a 12 year Old Female: Report of a Case Corresponding Author: Dr. Sheeraz Badal, Senior Lecturer, Dept of Oral & Maxillofacial
More informationGlandular Odontogenic Cyst Coexisting with a Dentigerous Cyst: Case Report
SmyrnaMed Case 2018;2(1): 1-5 ISSN (Online): 2564-6869 www.smyrnamed.com Glandular Odontogenic Cyst Coexisting with a Dentigerous Cyst: Case Report Assist.Prof.Dr. Serap Keskin Tunç 1, Dt. Erkan Feslihan
More informationThe concept of unicystic ameloblastoma (UA) was
Publication Treatment of Giant Unicystic Ameloblastoma Suction Drainage and Secondary Curettage: a Case Report Bing LIU 1, Wen Feng ZHANG 1, Xin Ming CHEN 2, Zhi Jun SUN 3, Mohd Jamal Alsharif 1, Yi Fang
More informationAMERICAN JOURNAL OF BIOLOGICAL AND PHARMACEUTICAL RESEARCH
AMERICAN JOURNAL OF BIOLOGICAL AND PHARMACEUTICAL RESEARCH e-issn - 2348-2184 Print ISSN - 2348-2176 Journal homepage: www.mcmed.us/journal/ajbpr SOLID AND MULTICYSTIC FOLLICULAR AMELOBLASTOMA - A CASE
More informationThe ameloblastoma is a benign but locally aggressive
The Unicystic Ameloblastoma: A Clinicopathologically Distinct Entity Tie-Jun LI 1 Abstract: Classification of ameloblastomas into solid or multicystic, unicystic, peripheral and desmoplastic types based
More informationCase Report A Conservative Approach to a Peripheral Ameloblastoma
Case Reports in Dentistry Volume 2016, Article ID 8254571, 5 pages http://dx.doi.org/10.1155/2016/8254571 Case Report A Conservative Approach to a Peripheral Ameloblastoma Rocco Borrello, 1 Elia Bettio,
More informationAMELOBLASTIC FIBROMA: A RARE CASE REPORT
Case Report International Journal of Dental and Health Sciences Volume 04, Issue 03 AMELOBLASTIC FIBROMA: A RARE CASE REPORT Namratha Patil 1 1.Sr lecturer, dept of oral medicine and radiology, KAHES VK
More informationAutologous Bone Augmentation in Combination with an Ameloblastoma in the Maxillary Region- A Case Report?
Archives of Clinical and Medical Case Reports doi: 10.26502/acmcr.96550023 Volume 2, Issue 2 Case Report Autologous Bone Augmentation in Combination with an Ameloblastoma in the Maxillary Region- A Case
More informationMULTILOCULAR AMELOBLASTOMA OF MANDIBLE-A CASE REPORT
International Journal of Advancements in Research & Technology, Volume 2, Issue2, February-2013 1 MULTILOCULAR AMELOBLASTOMA OF MANDIBLE-A CASE REPORT DR SANTOSH KUMAR SUBUDHI*, DR SUMIT DASH**, DR.K..PREMANANDA***,
More informationSURGICAL'MANAGEMENT'OF' PLEXIFORM'AMELOBLASTOMA:'A' CASE'REPORT'
HARSH,Ashutosh* PUROHIT,Pragya* PUROHIT,NC** ADLAKHA,Twisha*** SURGICALMANAGEMENTOF PLEXIFORMAMELOBLASTOMA:A CASEREPORT ABSTRACT Ameloblastoma is a benign but locally invasive neoplasm of odontogenicepithelium.patientsusuallypresentlateafterthetumor
More informationA Case Report of Odontogenic Keratocyst in Anterior Mandibule Position
A Case Report of Odontogenic Keratocyst in Anterior Mandibule Position Malihe Moeini 1, Seyed Ehsan Anvar 2, Rasool Barzegari Bafghi 3* 1.Resident of Oral and Maxillofacial Radiology, Faculty of Dentistry,
More informationCase Report Basal Cell Ameloblastoma of Mandible: A Rare Case Report with Review
Case Reports in Dentistry Volume 2013, Article ID 187820, 4 pages http://dx.doi.org/10.1155/2013/187820 Case Report Basal Cell Ameloblastoma of Mandible: A Rare Case Report with Review Hemant Shakya, 1
More informationPeripheral Odontogenic Fibroma: A rare case report
Annals of Dental Research (2013) Vol 3 (1): 10-14 HATAM Publishers: All Rights Reserved Annals of Dental Research www.hgpub.com www.adres.yolasite.com Case Report Peripheral Odontogenic Fibroma: A rare
More informationSuccessful Conservative Surgical Treatment of Ameloblastic Fibroma in the Posterior Maxilla : A Case Report
http://dx.doi.org/10.5933/jkapd.2013.40.4.321 ISSN (print) 1226-8496 Successful Conservative Surgical Treatment of Ameloblastic Fibroma in the Posterior Maxilla : A Case Report Youngeun Lee 1, Hyojung
More informationGlandular odontogenic cyst associated with ameloblastoma: Case report and review of the literature
Journal section: Oral Medicine and Pathology Publication Types: Case Report doi:10.4317/jced.53775 http://dx.doi.org/10.4317/jced.53775 : Case report and review of the literature Timothée Cousin 1, Samuel
More informationProblem diagnoses. Current issues in Anatomic pathology. Problem Diagnoses in Tumors of the Oral Cavity 5/29/2009
Current issues in Anatomic pathology Problem Diagnoses in Tumors of the Oral Cavity Richard Jordan DDS PhD FRCPath Professor of Oral Pathology & Pathology Director, UCSF Oral Pathology Diagnostic Laboratory
More informationA CASE OF UNICYSTIC AMELOBLASTOMA
Dentistry Original Article International Journal of Clinical And Diagnostic Research ISSN 2395-3403 Volume 4, Issue 2, Mar-April 2016. Glorigin Lifesciences Private Limited. A CASE OF UNICYSTIC AMELOBLASTOMA
More informationAn unusual case of unicystic intramural ameloblastoma and review of the literature
An unusual case of unicystic intramural ameloblastoma and review of the literature MASSIMILIANO RICCI, FRANCESCO MANGANO 1, PAOLO TONELLI 2, ANTONIO BARONE 3, CESARE GALLETTI 4, UGO COVANI 5 Abstract Ameloblastoma
More informationAn unusual site of Adenomatoid Odontogenic Tumor: A rare case report
J. Int Oral Health 2010 Case Report All right reserved An unusual site of Adenomatoid Odontogenic Tumor: A rare case report Sapna Panjwani*, Anjana Bagewadi**, Vaishali Keluskar*** *Post Graduate Student
More informationInternational Journal of Scientific Research and Innovative Technology ISSN: Vol. 4 No. 4; April 2017
Frequency of Lesions Associated with Impacted Teeth in Patients Referring to the Department of Oral Pathology, Tabriz Faculty of Dentistry from 2004 to 2013 and Its Relationship with Age, Gender, Location
More informationOssifying fibromas of the jaw bone: 20 cases
(2010) 39, 57 63 2010 The British Institute of Radiology http://dmfr.birjournals.org CASE REPORT Ossifying fibromas of the jaw bone: 20 cases Y Liu 1, M You 1, H Wang*,1, Z Yang 1, J Miao 1, K Shimizutani
More informationMucous and ciliated cell metaplasia in epithelial linings of odontogenic inflammatory and developmental cysts
77 Journal of Oral Science, Vol. 47, No. 2, 77-81, 2005 Original Mucous and ciliated cell metaplasia in epithelial linings of odontogenic inflammatory and developmental cysts Yasunori Takeda, Yuko Oikawa,
More informationDifferential Diagnosis of Radiolucent Lesions of the Jaws
Differential Diagnosis of Radiolucent Lesions of the Jaws Multilocular Multilocular Radiolucencies Odontogenic Keratocyst Botryoid Odontogenic Cyst Glandular odontogenic Cyst Invasive Ameloblastoma Central
More informationDisclosure. Educational Objectives. Terminology. Odontogenic Cysts. Terminology
Disclosure Lisa J. Koenig BChD, DDS, MS Professor & Program Director, Oral Medicine and Oral Radiology Marquette University School of Dentistry Consultant to Soredex for the Scanora 3D and 3Dx Author/Editor
More informationCase Report Acanthomatous Ameloblastoma treated with Hemimandibulectomy
Case Report Acanthomatous Ameloblastoma treated with Hemimandibulectomy Shobha Bijjargi, Ashwini Rani S.R, Jaishankar HP, Shashidara R 1, Veerendra Patil 2 Departments of Oral Medicine &Radiology, 1 Oral
More informationManagement of a Dentigerous Cyst Associated with Inverted and Fused Mesiodens: A Rare Case Report
Management of a Dentigerous Cyst Associated with Inverted and Fused Mesiodens: A Rare Case Report Kiran Patel 1, Nishtha Patel 2, Karthik Venkataraghavan 3 1 Sr. Lecturer, Department of Oral & Maxillofacial
More informationProceedings of the 36th World Small Animal Veterinary Congress WSAVA
www.ivis.org Proceedings of the 36th World Small Animal Veterinary Congress WSAVA Oct. 14-17, 2011 Jeju, Korea Next Congress: http://www.ivis.org October 14(Fri) ~ 17(Mon) 2011 ICC Jeju, Korea 2011 WSAVA
More informationTreatment Modalities of Odontogenic Keratocyst of Maxilla and Mandible: Our Experience
wjd Parveen Akhter Lone et al Original Research 10.5005/jp-journals-10015-1344 Treatment Modalities of Odontogenic Keratocyst of Maxilla and Mandible: Our Experience 1 Parveen Akhter Lone, 2 Mohan Singh,
More informationOdontomes and Odontogenic tumours
Odontomes and Odontogenic tumours Odontomes Developmental hamartoma Hamartoma: normal tissue in abnormal location Any cells to be neoplastic it must be able to replicate, which is not seen in hamartoma
More informationEpithelial Sources. Rests of Serres Rests of Malassez Reduced Enamel Epithelium Surface Mucosa
ODONTOGENIC CYSTS Epithelial Sources Rests of Serres Rests of Malassez Reduced Enamel Epithelium Surface Mucosa Epithelial Sources Surface Epithelium Rests of Serres Reduced Enamel Epithelium Rests of
More informationCase report: Central Giant Cell Granuloma of Mandible A Case Report
Case report: Central Giant Cell Granuloma of Mandible A Case Report 1Dr Praveen Kumar, 2 Dr Balreddy P., 3 Dr Sridhar Reddy B., 4 Dr Sanjeev Naik, 5Dr. Sujitha Reddy Patil 1Post Graduate, Department of
More informationIncidental finding of dentigerous cyst - a case report
Case Report Incidental finding of dentigerous cyst - a case report Pulivarthi Sushma 1, Sowbhagya M.B 2, Balaji P 3, Mahesh Kumar T.S 4 1 Postgraduate, 2 Reader, 3 Professor and Head of department, 4 Senior
More informationA COMPARATIVE HISTOPATHOLOGICAL STUDY OF EPITHELIAL linings OF ODONTOGENIC CYSTS AND UNICYSTIC AMElOBlASTOMAS
A COMPARATIVE HISTOPATHOLOGICAL STUDY OF EPITHELIAL linings OF ODONTOGENIC CYSTS AND UNICYSTIC AMElOBlASTOMAS J Sudiono, RB Zain. A Comparative Histopathological Study of Epithelial Linings of Odontogenic
More informationOdontogenic cysts: a clinical study of 90 cases
253 Journal of Oral Science, Vol. 46, No. 4, 253-257, 2004 Case Report Odontogenic cysts: a clinical study of 90 cases Banu Gurkan Koseoglu, Belir Atalay and Mehmet Ali Erdem Department of Oral Surgery,
More informationOdontogenic Keratocyst Masquerading as a Dentigerous Cyst in the Maxilla: A Case Report of an Unusual Presentation
European Journal of Therapeutics DOI: 10.5152/EurJTher.2018.496 Case Report Odontogenic Keratocyst Masquerading as a Dentigerous Cyst in the Maxilla: A Case Report of an Unusual Presentation Arvind Karikal
More informationRong Yang 1*, Zheqi Liu 1*, Sandhya Gokavarapu 2, Canbang Peng 1, Wei Cao 1, Tong Ji 1. Original Article. Abstract
Original Article Recurrence and cancerization of ameloblastoma: multivariate analysis of 87 recurrent craniofacial ameloblastoma to assess risk factors associated with early recurrence and secondary ameloblastic
More informationUnicystic ameloblastoma in a 23 year old male: A case report
2016; 2(4): 87-92 ISSN Print: 2394-7489 ISSN Online: 2394-7497 IJADS 2016; 2(4): 87-92 2016 IJADS www.oraljournal.com Received: 18-08-2016 Accepted: 19-09-2016 Richa Wadhawan Senior Lecturer, Department
More informationCENTRAL GIANT CELL GRANULOMA PRESENTING AS UNILOCULAR RADIOLUCENCY IN POSTERIOR MANDIBLE A CASE REPORT
IJCRR Section: Healthcare Sci. Journal Impact Factor 4.016 Case Report CENTRAL GIANT CELL GRANULOMA PRESENTING AS UNILOCULAR RADIOLUCENCY IN POSTERIOR MANDIBLE A CASE REPORT S. Aruleena Shaminey 1, G.
More informationAdenomatoid odontogenic tumor associated with odontoma: a case report and critical review of the literature
Gomez et al. Head & Face Medicine 2013, 9:20 HEAD & FACE MEDICINE CASE REPORT Adenomatoid odontogenic tumor associated with odontoma: a case report and critical review of the literature Open Access Ricardo
More informationSquamous Cell Carcinoma Arising in a Residual Cyst: A Case Report
Squamous Cell Carcinoma Arising in a Residual Cyst: A Case Report Abstract Aim: The purpose of this report is to present a case of squamous cell carcinoma (SCC) arising from a mandibular residual cyst.
More informationA case of orthokeratinized odontoge Title suspected to be a radicular cyst
A case of orthokeratinized odontoge Title suspected to be a radicular cyst Onuki, M; Saito, A; Hosokawa, S; Oh Author(s) Hayakawa, H; Seta, S; Muramatsu, T; Journal Bulletin of Tokyo Dental College, 5
More informationBUILDING A. Achieving total reconstruction in a single operation. 70 OCTOBER 2016 // dentaltown.com
BUILDING A MANDI Achieving total reconstruction in a single operation by Dr. Fayette C. Williams Fayette C. Williams, DDS, MD, FACS, is clinical faculty at John Peter Smith Hospital in Fort Worth, Texas,
More informationA CLINICOPATHOLOGIC STUDY OF ODONTOGENIC KERATOCYST (OKC) AND THE ROLE OF AgNORs IN CELL PROLIFERATION
A CLINICOPATHOLOGIC STUDY OF ODONTOGENIC KERATOCYST (OKC) AND THE ROLE OF AgNORs IN CELL PROLIFERATION * Vindhya Savithri **Sudha S ***Shameena P.M ****Ipe Varghese Abstract : The histologic pattern of
More informationCover Page. The handle holds various files of this Leiden University dissertation.
Cover Page The handle http://hdl.handle.net/1887/31632 holds various files of this Leiden University dissertation. Author: Mensink, Gertjan Title: Bilateral sagittal split osteotomy by the splitter-separator
More informationJ of Evolution of Med and Dent Sci/ eissn , pissn / Vol. 3/ Issue 18/May 05, 2014 Page 4859
CYSTIC DEGENERATION IN FOLLICULAR AMELOBLASTOMA: A CASE REPORT Neeraj Kumar 1, Niharika Rathore 2, Hemant Shakya 3, Anshuman Jamdade 4, Puneet Chitlangia 5 HOW TO CITE THIS ARTICLE: Neeraj Kumar, Niharika
More informationCentral odontogenic fibroma of the mandible: a case report
457 Journal of Oral Science, Vol. 51, No. 3, 457-461, 2009 Case Report Central odontogenic fibroma of the mandible: a case report Ioanna Daskala 1), Demos Kalyvas 2), Markos Kolokoudias 2), Dimitris Vlachodimitropoulos
More informationGarré s Osteomyelitis of the Mandible Caused by an Infected Wisdom Tooth
Oral Science International, November 2008, p.150 154 Copyright 2008, Japanese Stomatology Society. All Rights Reserved. Garré s Osteomyelitis of the Mandible Caused by an Infected Wisdom Tooth Hiroyuki
More informationInternational Journal of Health Sciences and Research ISSN:
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Case Report Orthokeratinized Odontogenic Cyst: A Case Report- A Milder Variant of OKC or an Independent Entity Mariyam
More informationRehabilitation of a large radicular cyst of the mandible without using any bone substitutes: case report
Cumhuriyet Dental Journal Volume 17 Supplement 1 doi:10.7126/cdj.58140.1008002245 Cumhuriyet Dental Journal available at http://dergipark.ulakbim.gov.tr/cumudj/ Volume 16 Number 1 e-issn : 2146-2852 Official
More informationMed. J. Malaysia Vol. 42 No. 4 December 1987 CLINICAL STATISTICS OF THE ADENOMATOID ODONTOGENIC TUMOUR IN MALAYSIA
Med. J. Malaysia Vol. 42 No. 4 December 1987 CLINICAL STATISTICS OF THE ADENOMATOID ODONTOGENIC TUMOUR IN MALAYSIA (1968-1986) CH SIAR* 80S (Mal), MSc (Lond), FDS RCPS (Glasg) K H NG* 80S (Mal), MSc (Lond),
More informationPACIFIC JOURNAL OF MEDICAL SCIENCES ISSN:
PACIFIC JOURNAL OF MEDICAL SCIENCES {Formerly: Medical Sciences Bulletin} ISSN: 2072 1625 Pac. J. Med. Sci. (PJMS) www.pacjmedsci.com. Email: pacjmedsci@gmail.com. ADENOMATOID ODONTOGENIC TUMOR WITH RARE
More informationSoft tissue recurrent ameloblastomas also show some malignant features: A clinicopathological study of a 15-year database
Journal section: Oral Surgery Publication Types: Research doi:10.4317/medoral.20276 http://dx.doi.org/doi:10.4317/medoral.20276 Soft tissue recurrent ameloblastomas also show some malignant features: A
More informationPericoronal radiolucency associated with incomplete crown
Imaging Science in entistry 2013; 43: 295-301 http://dx.doi.org/10.5624/isd.2013.43.4.295 Pericoronal radiolucency associated with incomplete crown Kyung-Soo Nah 1, * 1 epartment of Oral and Maxillofacial
More informationA Case Report on Surgical Management of Odontogenic Keratocyst
World Journal of Medical Sciences 10 (2): 212-216, 2014 ISSN 1817-3055 IDOSI Publications, 2014 DOI: 10.5829/idosi.wjms.2014.10.2.82185 A Case Report on Surgical Management of Odontogenic Keratocyst 1
More informationINFLAMMATORY DENTIGEROUS CYST OR INFLAMMATORY CYSTIC LESIONS OF MIXED DENTITION?: A REPORT OF THREE CASES
Case Report International Journal of Dental and Health Sciences Volume 03, Issue 03 INFLAMMATORY DENTIGEROUS CYST OR INFLAMMATORY CYSTIC LESIONS OF MIXED DENTITION?: A REPORT OF THREE CASES Pritam K Mankapure
More informationKeratocystic odontogenic tumor: a 10-year retrospective study of 83 cases in an Iranian population
229 Journal of Oral Science, Vol. 49, No. 3, 229-235, 2007 Original Keratocystic odontogenic tumor: a 10-year retrospective study of 83 cases in an Iranian population Ataollah Habibi 1), Nasrollah Saghravanian
More informationReconstruction of large mandibular defects
Immediate Reconstruction of a Large Mandibular Defect of Locally Invasive Benign Lesions (A New Method) Gholamreza Shirani, OMFS, DDS, MS,* Mahnaz Arshad, DDS, 1 Farnoush Mohammadi, OMFS, DDS, MS* Tehran,
More informationDiagnostic value of dynamic contrast-enhanced MRI for unilocular cystic-type
Diagnostic value of dynamic contrast-enhanced MRI for unilocular cystic-type ameloblastomas with homogeneously bright high signal intensity on T2-weighted or STIR MR images Miki Hisatomi a, Yoshinobu Yanagi
More informationSQUAMOUS ODONTOGENIC TUMOUR: REPORT OF FIVE CASES FROM NIGERIA AND REVIEW OF LITERATURE
African Journal of Oral Health Volume 3 Numbers 1&2, 2006:1-5 REFEREED ARTICLE SQUAMOUS ODONTOGENIC TUMOUR: REPORT OF FIVE CASES FROM NIGERIA AND REVIEW OF LITERATURE Adebiyi K.E., Odukoya O., Taiwo, E.O.
More informationPeripheral Odontogenic Fibroma : A Case Report
Peripheral Odontogenic Fibroma : A Case Report Vinayak V Meharwade 1, Vidya V Meharwade 2 1- Assistant Professor, Department of Periodontology, Sinhgad Dental College and Hospital, Pune, Maharashtra, India.
More informationManagement of Keratocystic Odontogenic Tumour With Marsupialisation, Enucleation and Carnoy s Solution Application: A Case Report
Management of Keratocystic Odontogenic Tumour With Marsupialisation, Enucleation and Carnoy s Solution Application: A Case Report Aydin Ozkan 1, Gurkan Rasit Bayar 2, Hasan Ayberk Altug 2, Metin Sencimen
More informationAdenomatoid odontogenic tumor: Case series of 14 with wide range of clinical presentation
Journal section: Oral Medicine and Pathology Publication Types: Research doi:10.4317/jced.54216 http://dx.doi.org/10.4317/jced.54216 : Case series of 14 with wide range of clinical presentation Fatima
More informationOrthokeratinized Odontogenic Cyst: A Rarity
aijoc AIJOC Case Report 1 Heena Sonawane, 2 Freny R Karjodkar, 3 Kaustubh Sansare, 4 Nimish Prakash ABSTRACT Orthokeratinized odontogenic cyst (OOC) was first identified as the rare variant of keratocystic
More informationSquamous odontogenic tumor: with recurrence and 12 years of follow-up
SQUAMOUS ODONTOGENIC TUMOR 51 RELATO DE CASO Squamous odontogenic tumor: with recurrence and 12 years of follow-up Tumor odontogênico escamoso: com recidiva e doze anos de acompanhamento Márcia Gaiger
More informationOrtho keratinized Odontogenic Cyst of Mandible: A Rare Case Report
Journal of Dental School 2015; 33(3): 233-237 Case Report Ortho keratinized Odontogenic Cyst of Mandible: A Rare Case Report 1 Soudabeh Sargolzaei 1 Fatemeh Mashhadi Abbas *2 Leila Hesami Moghadam 3 Sanaa
More informationClinical, radiological and therapeutic features of keratocystic odontogenic tumours: a study over a decade
Journal section: Oral Medicine and Pathology Publication Types: Research doi:10.4317/jced.51408 http://dx.doi.org/10.4317/jced.51408 Clinical, radiological and therapeutic features of keratocystic odontogenic
More information4. What about age? There is no age limit. After puberty, anyone can get dental implants.
Dental Implants 1. What are Osseointegrated implants? Osseointegrated implants are a new generation of dental implants in Rio de Janeiro, introduced in the 1960 s, they come in different shapes and sizes.
More informationPACIFIC JOURNAL OF MEDICAL SCIENCES ISSN:
PACIFIC JOURNAL OF MEDICAL SCIENCES {Formerly: Medical Sciences Bulletin} ISSN: 2072 1625 Pac. J. Med. Sci. (PJMS) www.pacjmedsci.com. Email: pacjmedsci@gmail.com. CASE REPORT ERUPTION CYST: A CASE REPORT
More informationLarge Dentigerous Cyst
Volume 16.2.1 Feb 2016 This Lecture Series qualifies for 0.5 Informal CPD Learning Hours Large Dentigerous Cyst By Dr Hassem Geha A 55 year-old male presented with a painless swelling in the right mandible.
More informationCase Report Intraosseous Follicular Adenomatoid Odontogenic Tumour A Case Report
International Dentistry Volume 2009, Article ID 597483, 4 pages doi:10.1155/2009/597483 Case eport Intraosseous Follicular Adenomatoid Odontogenic Tumour A Case eport Farhan Durrani 1 and oyana Singh 2
More informationAggressive unicystic ameloblastoma affecting the posterior mandible: late diagnosis during orthodontic treatment
CASE REPORT https://doi.org/10.5125/jkaoms.2017.43.2.115 pissn 2234-7550 eissn 2234-5930 Aggressive unicystic ameloblastoma affecting the posterior mandible: late diagnosis during orthodontic treatment
More informationIndian journals.com DOI: /j ABSTRACT INTRODUCTION
Vol. 2, No. 1, February 2014, pp- 75-79 Indian journals.com DOI: 10.5958/j.2347-6206.2.1.015 Case Report Basal Cell Ameloblastoma: Report of a Rare Case with Review of Literature Siva Kumar Pendyala 1
More informationCalcifying Odontogenic Cyst with Complex Odontoma: Histological and Immunohistochemical Features
Case Report Calcifying Odontogenic Cyst with Complex Odontoma: Histological and Immunohistochemical Features Nooshin Mohtasham 1, Amin Rahpeyma 2, Saeedeh Khajeh Ahmadi 3, Mohsen Merati 4 1 Oral and Maxillofacial
More informationErupting Compound Odontome - A case report
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 13, Issue 3 Ver. V. (Mar. 2014), PP 26-30 Erupting Compound Odontome - A case report Dr. Sahana Srinath
More informationHistopathologic Diversity of Gorlin s Cyst: A Study of Four Cases and Review of Literature
10.5005/jp-journals-10024-1065 Kishore Sonawane et al CASE REPORT Histopathologic Diversity of Gorlin s Cyst: A Study of Four Cases and Review of Literature Kishore Sonawane, Medhini Singaraju, Indra Gupta,
More informationGranular cell Ameloblastoma of the mandible A rare case report with brief review of literature
Case Report Granular cell Ameloblastoma of the mandible A rare case report with brief review of literature Vandana Reddy 1, Vishal Bansal 2, Vijay Wadhwan 3, Arvind Venkatesh 4 1. Reader, Oral & Maxillofacial
More informationPhD, Associates lecturers in Oral Surgery, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain
UNICYSTIC AMELOBLASTOMA: REHABILITATION WITH CHIN GRAFT HARVESTED AND IMPLANT-SUPPORTED FIXED PROSTHESIS J. SANZ-ALONSO 1, N. MARTÍNEZ-RODRÍGUEZ 2, M. MARTÍN-ARES 3, C. BARONA-DORADO 1, J. CORTÉS BRETÓN-BRINKMANN
More informationMural Unicystic Ameloblastoma Crossing the Midline: A Rare Case Report
Int. J. Odontostomat., 6(1):97-103, 2012. Mural Unicystic Ameloblastoma Crossing the Midline: A Rare Case Report Ameloblastoma Uniquístico Mural Traspasando la Línea Mediana: Reporte de un Caso Infrecuente
More informationJournal of Craniomaxillofacial Research. Odontogenic keratocyst of mandibular condylar region: A case report. Abbas Karimi 1,2, Reza Amirzargar 2*
Journal of Craniomaxillofacial Research Vol. 5, No. 2 Spring 2018 Odontogenic keratocyst of mandibular condylar region: A case report Abbas Karimi 1,2, Reza Amirzargar 2* 1. Craniomaxillofacial Research
More informationKeratocystic Odontogenic Tumor (KCOT) in Maxillary Sinus arising from an Infected Dentigerous Cyst
Keratocystic Odontogenic Tumor (KCOT) in Maxillary Sinus arising from an Infected Dentigerous Cyst N R Chourasia, Abhishek Singh Payak, Preeti Bhadouria Department of Oral and Maxillofacial Surgery, Rishiraj
More informationJOURNAL OF THE NEW YORK STATE ACADEMY OF GENERAL DENTISTRY Spring 2017
JOURNAL OF THE NEW YORK STATE ACADEMY OF GENERAL DENTISTRY Spring 2017 Non-Invasive Implant Placement Subsequent to a Large Glandular Odontogenic Cyst David Forlano, DDS INTRODUCTION Cysts of the jawbones
More informationRecurrence rate of odontogenic keratocyst treated by enucleation and peripheral ostectomy: Retrospective case series with up to 12 years of follow-up
Journal section: Oral Medicine and Pathology Publication Types: Research doi:10.4317/medoral.22366 http://dx.doi.org/doi:10.4317/medoral.22366 treated by enucleation and peripheral ostectomy: Retrospective
More informationAmeloblastic fibroma and related lesions: a clinicopathologic study with reference to their nature and interrelationship
J Oral Pathol Med (2005) 34: 588 95 ª Blackwell Munksgaard 2005 Æ All rights reserved www.blackwellmunksgaard.com/jopm Ameloblastic fibroma and related lesions: a clinicopathologic study with reference
More informationSaudi Journal of Oral and Dental Research (SJODR)
Saudi Journal of Oral and Dental Research (SJODR) Scholars Middle East Publishers Dubai, United Arab Emirates Website: http://scholarsmepub.com/ ISSN 2518-1300 (Print) ISSN 2518-1297 (Online) Recurrence
More informationA Preferable Technique for Protecting the Inferior Alveolar Nerve: Coronectomy
J Oral Maxillofac Surg 7:13-138, 9 A Preferable Technique for Protecting the Inferior Alveolar Nerve: Coronectomy Dogan Dolanmaz, DDS, PhD,* Gulsun Yildirim, DDS, PhD, Kubilay Isik, DDS, PhD, Korhan Kucuk,
More informationAcanthomatous Ameloblastoma- A Case Report
Acanthomatous Ameloblastoma- A Case Report Geeta Singh 1, Rashmi Agarwal 2, Vimlesh Kumar 3, Deepak Passi 4 1 Assistant Professor, Department of Oral & Maxillofacial Surgery, King George Dental University,
More informationCharacteristics of bony changes and tooth displacement in the mandibular cystic lesion involving the impacted third molar
ORIGINAL ARTICLE http://dx.doi.org/0.55/jkaoms.04.40.5.5 pissn 34-550 eissn 34-5930 Characteristics of bony changes and tooth displacement in the mandibular cystic lesion involving the impacted third molar
More informationOdontogenic Cysts - An Overview
Namita V Nayyer Michaelina Macluskey and William Keys Odontogenic Cysts - An Overview Abstract: This article aims to discuss the clinical features, radiological assessment, histopathology and management
More informationCase Report RESECTION OF AMELOBLASTOMA FOLLOWED BY RECONSTRUCTION WITH NONVASCULARISED ILIAC BONE GRAFT A CASE REPORT
Case Report FOLLOWED BY RECONSTRUCTION WITH NONVASCULARISED ILIAC BONE GRAFT A CASE REPORT Tariq Javed 1, Waqar Jeelani 2, Qurat ul Ain 1 1 Senior Registrar, Department of Oral and Maxillofacial Surgery,
More informationDiagnosis and Treatment of a Large Central Ossifying Fibroma of the Mandible. Clinical Case
Clinical Case Diagnosis and Treatment of a Large Central Ossifying Fibroma of the Mandible A 36 year old African American Female presented to the Department of Oral and Maxillofacial Surgery Clinic at
More informationMorphological Variants of Ameloblastoma and Their Mimickers
20 Jan 2012 Vol 5 No.1 North American Journal of Medicine and Science Review Morphological Variants of Ameloblastoma and Their Mimickers Khaled Shaikhi, BDS; 1 Mirdza Neiders, DDS, MS; 1 Frank Chen, MD,
More informationCase Report Ameloblastic Fibroodontoma of the Mandible with Normal Karyotype in a Pediatric Patient
Case Reports in Dentistry Volume 2012, Article ID 969687, 4 pages doi:10.1155/2012/969687 Case Report Ameloblastic Fibroodontoma of the Mandible with Normal Karyotype in a Pediatric Patient Esther Manor,
More informationComplex Odontoma in Both the Jaws: A Rare Case Report
10.5005/jp-journals-10026-1013 Adit Srivastava et al CASE REPORT Complex Odontoma in Both the Jaws: A Rare Case Report Adit Srivastava, AG Annaji, Sanjay B Nyamati, Govind Singh, GC Shivakumar, S Sahana
More informationMANSOURA UNIVERSITY FACULTY OF DENTISTRY ORAL PATHOLOGY DEPT
MANSOURA UNIVERSITY FACULTY OF DENTISTRY ORAL PATHOLOGY DEPT THIRD YEAR Course Director: Dr. Nadia M. Lotfy Professor of Oral Pathology Dr. Manal Mohamed Zyada Associate Professor of Oral Pathology Oral
More informationEducational Cases EQA November T.J. Palmer Raigmore Hospital Inverness
Educational Cases EQA November 2013 T.J. Palmer Raigmore Hospital Inverness Case 2 Clinical Details Dob 11 February 1951 PMH: 1964 Extraction of 45 aet 13 yr 1966 Cyst between 44 and 46 enucleated 1973
More informationCONCURRENT EXTRAVASATION MUCOCELE AND EPIDERMOID CYST OF THE LOWER LIP: A CASE REPORT
Mucocele and epidermoid cyst CONCURRENT EXTRAVASATION MUCOCELE AND EPIDERMOID CYST OF THE LOWER LIP: A CASE REPORT Wen-Chen Wang, Li-Min Lin, Yee-Hsiung Shen, 1 Yu-Ju Lin, and Yuk-Kwan Chen Departments
More information