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Volume 4, Number 6 (2019)

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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
DOI: 232 Downloads 5829 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. Volume 4, Issue 6, December 2019 | PP. 216-229.

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