Importance of Early Diagnosis of Small Solid Ameloblastoma in the Mandibular Alveolar Region: Case Report
DOI:
https://doi.org/10.21270/archi.v14i1.5784Keywords:
Odontogenic Tumors, Ameloblastoma, Oral Pathology, Diagnoses and Examinations, Oral Surgical ProceduresAbstract
Commonly located in the posterior region of the mandible, solid ameloblastomas are often diagnosed in significant sizes due to their slow and asymptomatic growth. However, when in smaller dimensions, doubts or failures in the diagnosis may occur. The objective of this study is to report a clinical case of solid ameloblastoma in the posterior alveolar region of the mandible, with initial differential diagnosis hypotheses of periodontal lesion, lateral periodontal cyst, ameloblastoma and odontogenic keratocyst. After clinical and radiographic examination, new diagnostic hypotheses emerged due tumor characteristics. An incisional biopsy was chosen and the diagnosis of solid ameloblastoma was defined. The radiolucent lesions found in the jaws in smaller dimensions must be carefully evaluated, as aggressive pathologies and with growth potential can be diagnosed initially, reducing the morbidity caused by these when they reach considerable sizes.
Downloads
References
1. O'Reilly M, O'Reilly P, Todd CE, Altman K, Schafler K. An assessment of the aggressive potential of radiolucencies related to the mandibular molar teeth. Clin Radiol. 2000;55(4):292-5.
2. Martins GG, Oliveira IA, Consolaro A. The mechanism: how dental resorptions occur in ameloblastoma. Dental Press J Orthod. 2019;24(4):21-32.
3. Ide F, Mishima K, Yamada H, Horie N, Saito I, Shimoyama T, et al. Unsuspected small ameloblastoma in the alveolar bone: a collaborative study of 14 cases with discussion of their cellular sources. J Oral Pathol Med. 2008;37(4):221-7.
4. Sinha D, Dormaar T, Salvo N, Politis C, Bornstein MM, Jacobs R. Solid ameloblastoma mimicking a periodontal defect: A diagnostic dilemma. Eur J Oral Implantol. 2016;9 Suppl 1(2):189-93.
5. Takeda Y, Yamamoto H. Ameloblastoma located in the alveolar bone: a case report. J Nihon Univ Sch Dent. 1990;32(4):270-4.
6. Gondak RO, Rocha AC, Neves Campos JG, Vargas PA, de Almeida OP, Lopes MA, et al. Unicystic ameloblastoma mimicking apical periodontitis: a case series. J Endod. 2013;39(1):145-8.
7. Faitaroni LA, Bueno MR, De Carvalhosa AA, Bruehmueller Ale KA, Estrela C. Ameloblastoma suggesting large apical periodontitis. J Endod. 2008;34(2):216-9.
8. Panneerselvam K, Kavitha B, Panneerselvam E, Parameswaran A. Mural Unicystic Ameloblastoma mimicking Odontogenic Cyst. J Family Med Prim Care. 2020;9(5):2524-2527.
9. Chae MP, Smoll NR, Hunter-Smith DJ, Rozen WM. Establishing the natural history and growth rate of ameloblastoma with implications for management: systematic review and meta-analysis. PLoS One. 2015;10(2):e0117241.
10. Mariz BA, Andrade BA, Agostini M, de Almeida OP, Romañach MJ, Jorge J Jr, et al. Radiographic estimation of the growth rate of initially underdiagnosed ameloblastomas. Med Oral Patol Oral Cir Bucal. 2019;24(4):e468-e472.
