Desmoplastic ameloblastoma in mandible: case report

MAYLSON NOGUEIRA BARROS, VITOR BRUNO TESLENCO, DIOGO HENRIQUE MARQUES, HERBERT DE ABREU CAVALCANTI, GUILHERME NUCCI REIS, EVERTON FLORIANO PANCINI

Introduction: Ameloblastomas are classified as benign tumors of odontogenic epithelium origin. They are subdivided into three different classifications, presenting different clinical and radiographic aspects, separated due to different therapeutic, in: conventional, unicystic and peripheral (ex- traosseous). Its appearance comes from the remains of the dental blade of the enamel, remains of Malassez, remains of Serres and cystic coatings. Desmoplastic ameloblastoma is one of the rare histopathological subtypes of ameloblastoma, and may present different radiographic characteristics of the other ameloblastomas. Objective: to report to the academic community the conservative treatment of an odontogenic tumor. Case report: 36-years-old patient, leucoderma, complaining of right mandibular volume increase, spontaneous pain and paresthesia in the lower lip region, with diagnosis of desmoplastic ameloblastoma. Treatment involved two enucleations and curettage associated with peripheral oste- otomy. During clinical and radiographic follow-up, bone neo-formation was observed after the approaches. Conclusion: It was observed that conservative treatment proposed avoided a more invasive/radical approach, avoiding mutilations and sequels. It was found successful until now due to the ab- sence of clinical and radiographic

Keywords: Ameloblastoma. Surgery, oral. Pathology, oral.

How to cite: Barros MN, Teslenco VB, Marques DH, Cavalcanti HA, Reis GN, Pancini EF. Desmoplastic ameloblastoma in mandible: case report J Braz Coll Oral Maxillofac Surg. 2020 May-Aug;6(2):32-8.

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