Surgical, Orthodontic and Prosthodontic Rehabilitation of a Patient with Follicular Ameloblastoma: A Case Report

This case report describes the combined surgical, orthodontic and prosthodontic rehabilitation of an adult female patient with a previous history of follicular ameloblastoma, which was treated through partial mandibulectomy and an immediate replacement of missing bone with an autologous calvarial bone graft. Orthodontic treatment was undertaken in order to restore occlusal disturbances and obtain sufficient space for two dental implants and an optimum prosthodontic rehabilitation. (Eur J Dent 2010;4:192-196)

Keywords

Follicular ameloblastoma - Bone graft - Mandibulectomy - Orthodontic treatment

• References

• 1 Junquera L, Ascani G, Vicente JC, Garcia-Consuegra L, Roig P. Ameloblastoma revisited. Ann Otol Rhinol Laryngol 2003; 112: 1034-1039
• 2 Gorlin RJ, Chaudhry AP, Pindborg JJ. Odontogenic tumors: Classification, histopathology clinical behaviour in man and domesticated animals. Cancer 1961; 14: 73-101
• 3 Adekeye EO. Ameloblastoma of jaws: A survey of 109 Nigerian patients. J Oral Surg 1980; 38: 36-41
• 4 Adekeye EO, Lavery KM. Recurrent ameloblastoma of the maxillofacial region. Clinical features and treatment. J Maxillofac Surg 1986; 14: 153-157
• 5 Reichart PA, Philipsen HP, Sonner S. Ameloblastoma: biological profile of 3677 cases. Eur J Cancer B Oral Oncol 1995; 31: 86-99
• 6 Ghandhi D, Ayoub AF, Pogrel MA, MacDonald G, Brocklebank LM, Moos KF. Ameloblastoma: a surgeon’s dilemma. J Oral Maxillofac Surg 2006; 64: 1010-1014
• 7 Carlson ER, Marx RE. The ameloblastoma: primary, curative surgical management. J Oral Maxillofac Surg 2006; 64: 484-494
• 8 Peterson LJ, Ellis E, Hupp J, Tucker MR. Contemporary oral and maxillofacial surgery. St. Louis: Elsevier Health Sciences; 2002: p.345-357
• 9 Shatkin S, Hoffmeister FS. Ameloblastoma: a rational approach to therapy. Oral Surg Oral Med Oral Pathol 1965; 20: 421-435
• 10 Sehdev MK, Huvos AG, Strong EW, Gerold FP, Willis GW. Ameloblastoma of maxilla and mandible. Cancer 1974; 33: 324-333
• 11 Müller H, Slootweg PJ. The ameloblastoma, the controversial approach to therapy. J Maxillofac Surg 1985; 13: 79-84
• 12 Gleizal AM, Beziat JL. Maxillary and mandibular reconstruction using bicortical calvarial bone grafts: a retrospective study of 122 reconstructions in 73 patients. Plast Reconstr Surg 2007; 119: 542-548
• 13 Iizuka T, Smolka W, Hallermann W, Mericske-Stern R. Extensive augmentation of the alveolar ridge using autogenous calvarial split bone grafts for dental rehabilitation. Clin Oral Implants Res 2004; 15: 607-615
• 14 Bianchi AE, Vinci R, Torti S, Sanfilippo F. Atrophic mandible reconstruction using calvarial bone grafts and implantsupported overdentures: radiographic assessment of autograft healing and adaptation. Int J Periodontics Restorative Dent 2004; 24: 334-343
• 15 Smolka W, Bosshardt DD, Mericske-Stern R, Iizuka T. Reconstruction of the severely atrophic mandible using calvarial split bone grafts for implant-supported oral rehabilitation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101: 35-42
• 16 Gratz KW, Sailer HF, Haers PE, Oechslin CK. Mandibular reconstruction with full thickness calvarial bone and temporal muscle flap. Br J Oral Maxillofacial Surg 1996; 34: 379-385