Conservative Treatment of Unicystic Ameloblastoma | ||||
| Egyptian Journal of Oral and Maxillofacial Surgery | ||||
| Article 2, Volume 11, Issue 1, January 2020, Page 8-14 PDF (2.65 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/omx.2020.27206.1059 | ||||
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| Author | ||||
| Wael Ahmed* | ||||
| Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mansoura University, Mansoura, Egypt | ||||
| Abstract | ||||
| Background: Treatment of unicystic ameloblastoma should be conservative as possible, to avoid serious complications resulting from radical surgery. The aim of this study was to evaluate the effect of enucleation with bone curettage followed by application of carnoy's solution in conservative treatment of unicystic ameloblastoma. Materials and Methods: This study included 10 patients seeking treatment for unicystic ameloblastoma, which were confirmed by: preoperative CBCT that showed unilocular radiolucency, and histopathological examination of incisional biopsy specimens. Final enucleation specimens were used for additional confirmation and for unicystic ameloblastoma subtyping. Unicystic ameloblastoma was treated by enucleation with bone curettage followed by application of carnoy's solution. Results: This study involved five males and five females, with an age ranged from 12 to 70 years, and an average age 32.8 years. All the lesions occurred in the mandible; eight lesions in posterior mandible and two lesions in anterior mandible. Four lesions were associated with impacted teeth. Root resorption occurred in six cases. Considering histopathological subtypes; three cases were luminal, one case was intraluminar, and six cases were mural. No recurrences were observed in all cases, after 30 months. Conclusion: Unicystic ameloblastoma even mural types can be successfully treated conservatively by enucleation with bone curettage followed by application of carnoy's solution. | ||||
| Keywords | ||||
| Carnoy's solution; Conservative treatment; Curettage; Enucleation; Unicystic ameloblastoma | ||||
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