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Journal of Maxillofacial and Oral Surgery

, Volume 16, Issue 3, pp 333–341 | Cite as

Conservative Management of Unicystic Ameloblastoma in Young Patients: A Prospective Single-Center Trial and Review of Literature

  • Mitsu Meshram
  • Lalit Sagarka
  • Jigar Dhuvad
  • Sonal Anchlia
  • Siddharth Vyas
  • Harsh Shah
Research Paper

Abstract

Aims

The study intends to evaluate the clinical outcome of treating young patients of unicystic ameloblastoma, by various conservative treatment modalities such as marsupialization, enucleation with bone curettage and aid in establishing sound treatment guidelines.

Materials and Methods

A case series of fifteen patients is presented of unicystic ameloblastoma, who presented to our Department over the past 6 years (2010–2015) and conservative method of treatment elected in all the patients. Also, a methodical literature review of studies discussing treatment of unicystic ameloblastoma in young age group (<20 years) patients over the last 15 years from 2001 to 2015 is added.

Results

Faster osseous regeneration after conservative treatment was noted, owing to the young age and growth potential. Over a mean follow-up of 4 years, uneventful secondary healing, no clinical or radiographic evidence of recurrence and no apparent deformity were noted in any of the cases.

Conclusion

Unicystic ameloblastoma is a benign, locally invasive odontogenic neoplasm of young age which can develop during the stage of tooth formation and hence its early inception and vast proliferation is not uncommon in this age group, due to which it can grow into a huge lesion causing significant morbidity. Conservative surgical management may be a viable option to reduce morbidity and increase the probability of uneventful secondary healing and bone regeneration in the younger population.

Keywords

Ameloblastoma Unicystic Pediatric Enucleation 

Notes

Acknowledgement

We wish to acknowledge the fruitful contribution of our former H.O.D., Prof. Dr. Babu S. Parmar to this study.

Compliance with Ethical Standards

Conflict of interest

The authors hereby wish to state that this paper does not have any financial and personal relationships with other people or organisations that could inappropriately influence (bias) their work.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2016

Authors and Affiliations

  1. 1.117, Department of Oral and Maxillofacial SurgeryGovernment of Dental College and Hospital, Civil HospitalAhmedabadIndia

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