Abstract:
This case report aimed to describe a rare benign mandibular tumour and assess the outcomes of the most recent reviews, between January 2017 and August 2023. Presenting a detailed clinical case, this study advances our understanding of the diagnostic and therapeutic aspects, ultimately improving the management of similar cases in clinical practice. Orthopantomogram (OPG) revealed a well-defined unilocular radiolucency extending from the midline of the ramus and teeth 47 and 48 were submerged at the base of the mandible. In the presented case, a PLANMECA ROMEXIS PROMAX® three-dimensional (3D) maximum (MAX) cone-beam computed tomography (CBCT) device was used for the 3D examination. An intraoral approach was preferred and the tumour was removed in toto by creating a bone window using a W&H® Dentalwerk Bürmoos GmbH Piezomed piezoelectric device, and the bone plates were fixed with 4 MEDARTIS® microplates, with a primary flap closure. A PANORAMIC 1000, 3DHISTECH Ltd® device was employed for the histological investigation. Odontogenic tumours are rare and typically asymptomatic, often discovered incidentally during routine radiographic examinations. Most of these benign lesions heal well after complete excision and require long-term follow-up. Once diagnosed, ameloblastic fibroma (AF) should be treated immediately to avoid malignant transformation.
摘要:
该病例报告旨在描述一种罕见的良性下颌骨肿瘤,并评估最新评论的结果。2017年1月至2023年8月。介绍一个详细的临床病例,这项研究提高了我们对诊断和治疗方面的理解,最终改善临床实践中类似病例的管理。正交图(OPG)显示从支中线延伸的明确的单眼射线可透性,牙齿47和48浸没在下颌骨的底部。在本案中,使用PLANMECAROMEXISPROMAX®三维(3D)最大锥束计算机断层扫描(CBCT)装置进行3D检查.优选口内方法,并通过使用W&H®DentalwerkBürmoosGmbHPiezomed压电装置创建骨窗来完全切除肿瘤,骨板用4个MEDARTIS®微孔板固定,一个主要的皮瓣关闭。采用PANORAMIC1000,3DHISTECHLtd®装置进行组织学研究。牙源性肿瘤很少见,通常无症状,经常在常规射线照相检查中偶然发现。这些良性病变大多数在完全切除后愈合良好,需要长期随访。一旦确诊,成釉细胞纤维瘤(AF)应立即治疗,以避免恶变。