J Korean Assoc Maxillofac Plast Reconstr Surg.  2011 Sep;33(5):435-439.

Surgical and Orthodontic Treatment of Unicystic Ameloblastoma Related to an Impacted Molar Tooth in the Mandible: Case Report

• Moon CH
• Kim HM
• Park DS
• Kim DW
• Lee SC
• Kim SY
• Lim HY
• Yeom HY

Abstract

Ameloblastoma is an aggressive benign odontogenic epithelial tumour that may arise from the enamel organ, remnants of dental lamina, or the lining of an odontogenic cyst. It is usually categorized into solid or multicystic, unicystic, and peripheral types. Treatment ofameloblastomas include conservative methods such as marsupialisation, enucleation, and curettage; and radical treatments such as marginal or segmental resection. Radical treatments have resulted in lower recurrence rates; however, may also encounter esthetic, functional, and reconstructive problems. Unicystic ameloblastoma has been considered less aggressive and a lower recurrence tendency. Thus, many authors have recommended conservative treatment in cases of unicystic ameloblastoma. An 11 year-old boy presented with displaced second and third molars by luminal unicystic ameloblastoma in the mandible. Cyst enucleation, curettage, and third molar extraction were done. No signs of recurrence or esthetic problems such as facial asymmetry were seen radiologically and clinically, up to 8 years 2 months postoperatively.

Keyword

Unicystic ameloblastoma; Cyst enucleation; Impacted tooth; Orthodontic treatment

MeSH Terms

Ameloblastoma
Curettage
Enamel Organ
Facial Asymmetry
Mandible
Molar
Molar, Third
Odontogenic Cysts
Phenobarbital
Recurrence
Tooth
Tooth, Impacted
Phenobarbital