Controversies In Management of Ameloblastoma
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
Introduction Ameloblastoma has its inclusion in a group of odontogenic tumours that originate from the odontogenic remnants of various tissues which remain trapped in the bone or soft tissue. Management of Ameloblastoma occupies a space in our specialty where the treatment protocol still remains controversial. Various authors have debated over the best approach to treat this tumour. Considering the benign nature of the tumour, it is advisable to offer different treatment options to the patient. The decision whether to go for a conservative or radical approach should also be based on various clinical entities like age, aesthetics, aggressiveness of the tumour etc. Materials and method This is a retrospective study of 9 cases of ameloblastoma diagnosed and treated with Enucleation, peripheral ostectomy and chemical cauterization in our institution. Both males and females with a mean age of 24 years were included in the study. All the patients were followed up for a minimum of 6 months and orthopantomograms were used to compare the bone formation pre and post surgery. Result All patients treated in this case series reported for review with good bone formation except for one in whom recurrence was noted in themandibular angle region.Another patient in whom a reconstruction plate was placedreported with a draining sinus tract, the radiograph revealed good bone formation and the patient was treated with implant removal and sinus tract excision.No significant treatment related complications were noted. Conclusion Conservative treatment if done adequately without leaving any traces of diseased tissue particularly in young patients will reduce morbidity and will not interrupt growth and function thereby improving the quality of life.
Authors and Affiliations
Dr. ShahzaibAkhter Nasti, Dr. (Col) Suresh Menon, Dr. Srihari . V
Keywords
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- EP ID EP395474
- DOI 10.9790/0853-1709104750.
- Views 43
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