Volume 4, Number 6 (2019)
Year Launched: 2016
Journal Menu
Archive
Previous Issues
Why Us
-  Open Access
-  Peer-reviewed
-  Rapid publication
-  Lifetime hosting
-  Free indexing service
-  Free promotion service
-  More citations
-  Search engine friendly
Contact Us
Email:   service@scirea.org
Home > Journals > SCIREA Journal of Clinical Medicine > Archive > Paper Information

Treatment for Unicystic Ameloblastoma by Adopting the Technique of Decompression by Fenestration with the Second Molar Preserved

Volume 4, Issue 6, December 2019    |    PP. 216-229    |PDF (433 K)|    Pub. Date: November 7, 2019
15 Downloads     429 Views  

Author(s)
Wen-chao Li, Department of Oral Surgery, Affiliated Hospital of Chifeng College, Chifeng, 024000, China
Ning Ruan, Department of Oral Surgery, Affiliated Hospital of Chifeng College, Chifeng, 024000, China
Yuan Tian, Department of Oral Surgery, Affiliated Hospital of Chifeng College, Chifeng, 024000, China
Wei Zu, Department of Oral Surgery, Affiliated Hospital of Chifeng College, Chifeng, 024000, China
Hai-jie Guan, Department of Oral Surgery, Affiliated Hospital of Chifeng College, Chifeng, 024000, China
Yang Lin, Department of Oral Surgery, Affiliated Hospital of Chifeng College, Chifeng, 024000, China
min-Qiang Zhao, Department of Oral Surgery, Affiliated Hospital of Chifeng College, Chifeng, 024000, China
jiang Xu, Department of Stomatology, The First Affiliated Hospital of Medical College of Shihezi University, Shihezi, 832000, China

Abstract
AbstractBackground: Unicystic ameloblastoma (UAB) is a relatively rare type of Ameloblastoma (AB) and often occurs in adolescents. The technique of decompression by fenestration can help to preserve the appearance and function of the jaws. Purpose: The aim of this study is to validate the efficacy of the decompression by fenestration technique in the treatment for UAB with the second molar preserved. Methods: The decompression by fenestration technique was employed to six patients suffering from the UAB with the mandibular second molar involved. The mandibular second molar was preserved in the surgery. These patients were followed up for five years to monitor the prognosis. Results: Eight months after the decompression by fenestration, the tumors' size decreased by 61.62%, the bone mineral density of the mandible inferior border increased, and the formation of the trabeculae was observed; six months after the tumors were removed, the jaws made a full recovery and the function of the mandibular second molar was preserved; during the follow-up period of one to five years, there was no tumor reoccurrence and the mandibular second molar functioned properly. Conclusion: The disfigurement was relieved and the functions of jaw and tooth were protected by the application of the fenestration with the second molar preserved and the tumor removal surgery.

Keywords
Unicystic Ameloblastoma; Fenestration; Decompression; Second Molar

Cite this paper
Wen-chao Li, Ning Ruan, Yuan Tian, Wei Zu, Hai-jie Guan, Yang Lin, min-Qiang Zhao, jiang Xu, Treatment for Unicystic Ameloblastoma by Adopting the Technique of Decompression by Fenestration with the Second Molar Preserved, SCIREA Journal of Clinical Medicine. Vol. 4 , No. 6 , 2019 , pp. 216 - 229 .

References

[ 1 ] Li, W.C., et al., Expression and significance of survivin and COX- 2 in ameloblastoma. Journal Practical Stomatology, 2014. 30(1): p. 126-128.
[ 2 ] Neville, B.W., et al., Oral and Maxillofacial Pathology. 2008, Saunders. p. 708.
[ 3 ] Gunawardhana, K.S., P.R. Jayasooriya, and W.M. Tilakaratne, Diagnostic dilemma of unicystic ameloblastoma: novel parameters to differentiate unicystic ameloblastoma from common odontogenic cysts. J Investig Clin Dent, 2014. 5(3): p. 220-5.
[ 4 ] Seintou, A., C.P. Martinelli-Klay, and T. Lombardi, Unicystic ameloblastoma in children: systematic review of clinicopathological features and treatment outcomes. Int J Oral Maxillofac Surg, 2014. 43(4): p. 405-12.
[ 5 ] Tomita, Y., et al., Orthodontic occlusal reconstruction after conservative treatment of unicystic ameloblastoma in an adolescent patient: 10-year follow-up. Am J Orthod Dentofacial Orthop, 2013. 144(3): p. 466-70.
[ 6 ] Bisinelli, J.C., et al., Conservative treatment of unicystic ameloblastoma. Am J Orthod Dentofacial Orthop, 2010. 137(3): p. 396-400.
[ 7 ] Dolanmaz, D., et al., Marsupialization of unicystic ameloblastoma: a conservative approach for aggressive odontogenic tumors. Indian J Dent Res, 2011. 22(5): p. 709-12.
[ 8 ] Enislidis, G., et al., Conservative treatment of large cystic lesions of the mandible: a prospective study of the effect of decompression. Br J Oral Maxillofac Surg, 2004. 42(6): p. 546-50.
[ 9 ] Hu, Y.J., S.Y. Li, and C.P. Zhang. The clinical research of decompression treatment of large mandibular cystic lesions. in Proceedings of the Symposium on the New Progress in the Diagnosis, Treatment and Reconstruction of Oral Cancer in the Cross-Strait. 2008.
[ 10 ] Xavier, S.P., et al., Conservative approach: using decompression procedure for management of a large unicystic ameloblastoma of the mandible. J Craniofac Surg, 2014. 25(3): p. 1012-4.
[ 11 ] Sano, K., et al., Spontaneous eruption of involved second molar in unicystic ameloblastoma of the mandible after marsupialization followed by enucleation: a case report. J Oral Maxillofac Surg, 2013. 71(1): p. 66-71.
[ 12 ] Barnes, L., et al., World Health Organization Classification of Tumours: Pathology and Genetics of Head and Neck Tumours. Vol. 9. 2005: IARC. 299-300.
[ 13 ] Ertas, U. and M.S. Yavuz, Interesting eruption of 4 teeth associated with a large dentigerous cyst in mandible by only marsupialization. J Oral Maxillofac Surg, 2003. 61(6): p. 728-30.
[ 14 ] Fujii, R., et al., Panoramic findings for predicting eruption of mandibular premolars associated with dentigerous cyst after marsupialization. J Oral Maxillofac Surg, 2008. 66(2): p. 272-6.
[ 15 ] Yahara, Y., et al., Eruption prediction of mandibular premolars associated with dentigerous cysts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2009. 108(1): p. 28-31.
[ 16 ] Hyomoto, M., et al., Clinical conditions for eruption of maxillary canines and mandibular premolars associated with dentigerous cysts. Am J Orthod Dentofacial Orthop, 2003. 124(5): p. 515-20.
[ 17 ] Zhou, C.X., Z.M. Huang, and B.L. Liang, AProach to Roentgenologic Diagnosis of Ameloblastoma of the Jaw:Analysis of 64 Cases. Journal of Diagnostic Imaging & Interventional Radiology, 1998(2): p. 83-86.
[ 18 ] Lee, P.K., N. Samman, and I.O. Ng, Unicystic ameloblastoma--use of Carnoy's solution after enucleation. Int J Oral Maxillofac Surg, 2004. 33(3): p. 263-7.
[ 19 ] Li, T.J., et al., Unicystic ameloblastoma: a clinicopathologic study of 33 Chinese patients. Am J Surg Pathol, 2000. 24(10): p. 1385-92.

Submit A Manuscript
Review Manuscripts
Join As An Editorial Member
Most Views
Article
by Sergey M. Afonin
2929 Downloads 34402 Views
Article
by Syed Adil Hussain, Taha Hasan Associate Professor
2290 Downloads 17904 Views
Article
by Omprakash Sikhwal, Yashwant Vyas
2359 Downloads 15079 Views
Article
by Munmun Nath, Bijan Nath, Santanu Roy
2252 Downloads 14920 Views
Upcoming Conferences