Introduction: Ameloblastoma is a rare, benign odontogenic tumor that accounts for 1% of all tumors of the jaws. We aim to compare the ameloblastoma recurrence rate according to the type of treatment: radical or conservative and as per the radiographic, histologic features. Material and methods: we conducted a retrospective study and collected the data based on the radiological, and histological and the type of treatment: conservative or radical and to compare the recurrence rate according to the type of treatment. Results: Thirty Patients were included, managed by conservative treatment (CT) in 26 cases and radical treatment (RT) in 14 cases. The recurrence rate was 90.9% in the CT group and 9.1% in the RT group (P = 0.025) with a mean follow-up of 56.2 months. Conclusion: The recurrence rate after conservative treatment was higher than that after radical treatment. The choice of treatment must be adapted to the macroscopic and histological characteristics of each tumor and to the patient.