Diagnosis and Treatment for Breakthrough Clinical Oral Pathology

This article first appeared in the newsletter, DE’s Breakthrough Clinical with Stacey Simmons, DDS. Subscribe here.

Last month I presented the oral pathology action of a healthy 40 -year-old woman who presented with a six-year history of a recurrent anterior mandibular growth. She experienced no hurting but was ashamed of being seen in public. She had two prior surgeries to compensate the original precondition. When the lesion was previously removed it was small and asymptomatic. The first surgery was done six years ago and the second largest surgery two years after that. After the second largest surgery, individual patients decided to pursue herbal medication because the regular medication wasn’t relenting a definitive arise. She returned 3 years later with no improved and the current rendition.

These are my differentials:

• Ameloblastoma
• Fibro-osseous lesion
• Fibrous dysplasia
• Ossifying fibroma

Definitive diagnosis: Recurrent ameloblastoma of anterior mandible

Recurrent ameloblastoma is a rare, benign tumor of the odontogenic epithelium occurring much more commonly in the mandible than the maxilla. Although it is rarely malignant or metastatic, it progresses slowly and can cause severe abnormalities of the face and jaws. Ameloblastoma has abnormal cell growth, which easily infiltrates and destroys surrounding bony tissues.

Incidence rates per million for ameloblastoma globally: (1)

• Black males: 1.97
• Black females: 1.23
• White males: 0.19
• White females: 0.45

Treatment: Wide surgical intervention is required to effectively treat this condition. A bilateral hemimandibulectomy was done for this particular patient.

This article first appeared in the newsletter, DE’s Breakthrough Clinical with Stacey Simmons, DDS. Subscribe here.

Reference
1. Shear M, Singh S. Age-standardized incidence rates of ameloblastoma and dentigerous cysts on the Witwatersrand, South Africa. Community Dent Oral Epidemiology. 1978;6:195-199.

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