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Aggressive unicystic ameloblastoma affecting the posterior mandible: late diagnosis during orthodontic treatment

Journal of the Korean Association of Oral and Maxillofacial Surgeons / Journal of the Korean Association of Oral and Maxillofacial Surgeons, (P)2234-7550; (E)2234-5930
2017, v.43 no.2, pp.115-119
Sérgio Lúcio Pereira de Castro Lopes (São Paulo State University)
Isadora Luana Flores (Federal University)
Thiago de Oliveira Gamba (Piracicaba Dental School)
Rivea Ines Ferreira-Santos (City University of São Paulo)
Mari Eli Leonelli de Moraes (São Paulo State University)
Aline Alvarez Cabello (São Paulo State University)
Paula Nascimento Moutinho (São Paulo State University)

Abstract

Maxillofacial images must be examined to find pathologies not identified during clinical examination. Unicystic ameloblastoma (UA) extending to the mandibular body and ramus was neglected on initial panoramic radiographic examination. After orthodontic therapy, a huge lesion was observed clinically and through imaging exams. After the conservative surgery, no recurrence was observed during five years of follow-up. This case emphasized the need for careful evaluation of patient images focusing on the oral diagnosis before any dental treatment planning, including orthodontic therapy.

keywords
Oral diagnosis, Dentistry, Diagnostic imaging, Ameloblastoma

Journal of the Korean Association of Oral and Maxillofacial Surgeons