Clinical and Radiographic Features of Ameloblastoma: Ultimate Diagnosis and Treatment

Abstract

Objectives: The purpose of this study was to compare the clinical and radiographic features of 22 intraosseous ameloblastomas. Study design: All the data with respect to the patient’s age, sex, tumor locations, surgical treatment history, as well as radiographic findings and number of recurrence, were analyzed. Results: The patient’s age at biopsy ranged from 08 to 70 years (mean, 31.5 years), Fourteen (63.6%) of the 22 subjects were females, and eight (36.4%) were males. Nineteen (86.4%) of the 22 ameloblastomas were located in mandible and three (13.6%) were located in maxilla. Pain, swelling and purulent discharge were the most common symptoms and were experienced by eight (36.4%) patients. Radiographically, seventeen (77.3%) of the 22 tumors were multilocular. Remaining five cases were unilocular with a well-demarcated border. There was no case exhibiting the typical soap-bubble appearance. The most common histologic pattern was plexiform and had follicular type. Conclusion: Diagnosis of ameloblastoma remained in doubt after clinical and radiographic examination. A biopsy is necessary for the confirmation of diagnosis. Surgical treatment should be planned after C.T and 3D Scan. Long-term follow-up at regular intervals after surgery is also recommended.

Keywords: Ameloblastoma, Diagnosis, Radiographic

DOI: 10.7176/JMPB/60-02

Publication date:October 31^st 2019