Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Surgical and Orthodontic Treatment of Unicystic Ameloblastoma Related to an Impacted Molar Tooth in the Mandible: Case Report

낭종성 법랑모세포종으로 인하여 매복된 하악 구치의 교정-외과 치료: 증례보고

  • Moon, Cheol-Hyun (Department of Orthodontics, Gachon University Gil Hospital) ;
  • Kim, Hyeon-Min (Department of Oral & Maxillofacial Surgery, Gachon University Gil Hospital) ;
  • Park, Dae-Song (Department of Oral & Maxillofacial Surgery, Gachon University Gil Hospital) ;
  • Kim, Dong-Woo (Department of Oral & Maxillofacial Surgery, Gachon University Gil Hospital) ;
  • Lee, Sang-Chil (Department of Oral & Maxillofacial Surgery, Gachon University Gil Hospital) ;
  • Kim, Sung-Yong (Department of Oral & Maxillofacial Surgery, Gachon University Gil Hospital) ;
  • Lim, Ho-Yong (Department of Oral & Maxillofacial Surgery, Gachon University Gil Hospital) ;
  • Yeom, Hak-Yeol (Department of Oral & Maxillofacial Surgery, Gachon University Gil Hospital)
  • 문철현 (가천의대 길병원 교정과) ;
  • 김현민 (가천의대 길병원 구강악안면외과) ;
  • 박대송 (가천의대 길병원 구강악안면외과) ;
  • 김동우 (가천의대 길병원 구강악안면외과) ;
  • 이상칠 (가천의대 길병원 구강악안면외과) ;
  • 김성용 (가천의대 길병원 구강악안면외과) ;
  • 임호용 (가천의대 길병원 구강악안면외과) ;
  • 염학열 (가천의대 길병원 구강악안면외과)
  • Received : 2011.07.13
  • Accepted : 2011.08.05
  • Published : 2011.09.30
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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.

Keywords

References

  1. Sapp J, Eversole L, Wysocki G. Contemporary oral and maxillofacial pathology. 2nd ed. Missouri: Mosby; 2004.
  2. Sampson DE, Pogrel MA. Management of mandibular ameloblastoma: the clinical basis for a treatment algorithm. J Oral Maxillofac Surg 1999;57:1074-7; discussion 1078-9. https://doi.org/10.1016/S0278-2391(99)90328-2
  3. Sammartino G, Zarrelli C, Urciuolo V, et al. Effectiveness of a new decisional algorithm in managing mandibular ameloblastomas: a 10-years experience. Br J Oral Maxillofac Surg 2007;45:306-10. https://doi.org/10.1016/j.bjoms.2006.08.023
  4. Olaitan AA, Arole G, Adekeye EO. Recurrent ameloblastoma of the jaws. A follow-up study. Int J Oral Maxillofac Surg 1998;27:456-66. https://doi.org/10.1016/S0901-5027(98)80037-4
  5. Jackson IT, Callan PP, Forte RA. An anatomical classification of maxillary ameloblastoma as an aid to surgical treatment. J Craniomaxillofac Surg 1996;24:230-6. https://doi.org/10.1016/S1010-5182(96)80006-0
  6. Feinberg SE, Steinberg B. Surgical management of ameloblastoma. Current status of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;81:383-8. https://doi.org/10.1016/S1079-2104(96)80012-6
  7. Ueno S, Mushimoto K, Shirasu R. Prognostic evaluation of ameloblastoma based on histologic and radiographic typing. J Oral Maxillofac Surg 1989;47:11-5.
  8. Bataineh AB. Effect of preservation of the inferior and posterior borders on recurrence of ameloblastomas of the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90:155-63. https://doi.org/10.1067/moe.2000.107971
  9. Pizer ME, Page DG, Svirsky JA. Thirteen-year follow-up of large recurrent unicystic ameloblastoma of the mandible in a 15-year old boy. J Oral Maxillofac Surg 2002;60:211-5. https://doi.org/10.1053/joms.2002.29828
  10. Navarro CM, Principi SM, Massucato EM, Sposto MR. Maxillary unicystic ameloblastoma. Dentomaxillofac Radiol 2004;33:60-2. https://doi.org/10.1259/dmfr/32974609
  11. Ramesh RS, Manjunath S, Ustad TH, Pais S, Shivakumar K. Unicystic ameloblastoma of the mandible--an unusual case report and review of literature. Head Neck Oncol 2010;2:1. https://doi.org/10.1186/1758-3284-2-1
  12. Neville BW, Damm DD, Allen CM, Bouquot JE. Oral & Maxillofacial Pathology. 2nd ed. In: Neville BW, editor. Odontogenic cysts and tumors. Philadelphia: Saunders Company; 2002.p.611-9.
  13. Nakamura N, Higuchi Y, Tashiro H, Ohishi M. Marsupialization of cystic ameloblastoma: a clinical and histopathologic study of the growth characteristics before and after marsupialization. J Oral Maxillofac Surg 1995;53:748-54; discussion 755-6. https://doi.org/10.1016/0278-2391(95)90323-2
  14. Hwang HS, Kim HH, Kim JC. Surgical-Orthodontic Treatment of Impacted Teeth displaced by Unicystic Ameloblastoma. Korean J Orthod 1997;27:515-21.
  15. Moon CH, Jung JC. Surgical procedure for orthodontics of impacted teeth. J Korean Dent Assoc 1997;35:119-25.
  16. Moon CH, Lee DG. Impacted tooth treatment with modified Nance appliance. J Korean Dent Assoc 2007;45:238-47.
  17. Howard RD. Impacted tooth position: unexpected improvements. Br J Orthod 1978;5:87-92. https://doi.org/10.1179/bjo.5.2.87
  18. Clauser C, Zuccati G, Barone R, Villano A. Simplified surgical-orthodontic treatment of a dentigerous cyst. J Clin Orthod 1994;28:103-6.
  19. ElNesr NM, Avery JK. Oral development and histology. 2nd ed. In: Avery JK, editor. Tooth eruption and shedding. New York: Thieme Medical Publishers, Inc; 1994. p.100-29.