Report of Multidisciplinary Treatment of an Extensive Mandibular Ameloblastoma With Free Iliac Crest Bone Flap, Dental Implants, and Acellular Dermal Matrix Graft

Aşkin, Sezen Büyüközdemir; Aksu, Ali̇ Emre; Çalış, Mert; Tulunoğlu, İbrahim; Şafak, Tunç; Tözüm, Tolga Fikret

doi:10.1563/aaid-joi-d-13-00003

Cited by 9 publications

(9 citation statements)

References 38 publications

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“…Resective procedures are the most definitive treatment options to minimize recurrence, but may lead to loss of orofacial function and esthetics. There are studies presenting successful rehabilitation of maxillofacial defects reconstructed using non-vascularized/vascularized free grafts and implants (Goh et al, 2008;Cuesta-Gil et al, 2009;Askin et al, 2015). And also, dental implant- In the present case report, the defect was reconstructed after resection of the ameloblastoma together with the healthy bone around it, and then iliac crest graft was applied by giving the appropriate shape to the defect area.…”

Section: Discussionmentioning

confidence: 80%

Rehabilitation of Surgically Reconstructed Partially Edentulous Mandible with Iliac Crest Graft After Ameloblastoma Resection with an Implant-Supported “Toronto Prosthesis”

ÖZTÜRK

KAHRAMAN

DELİLBAŞI

et al. 2023

Journal of Gazi University Health Sciences Institute

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Ameloblastomas are locally invasive and benign odontogenic tumors with a high long-term recurrence rate. These lesions can cause serious anomalies in the facial area and alveolar bones, leading deformity and deterioration of functions. Wide local excision and reconstruction are required for the surgical treatment of these tumors. Aggressive resection effectively eliminates tumors; however, this approach may cause various problems that need reconstruction to restore the oral functions. In the present case report, the rehabilitation of surgically reconstructed partially edentulous mandible with iliac crest graft after ameloblastoma resection with an implant-supported “Toronto Prosthesis” is presented. In the surgical procedure, mandible was partially resected and simultaneous iliac bone graft was applied. Then, four dental implants were inserted into the reconstructed bone and implant-supported Toronto prosthesis were fabricated. The patient was satisfied with the final result of the treatment and recurrence was not observed during the 2-year clinical follow-up.

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Section: Discussionmentioning

confidence: 80%

Rehabilitation of Surgically Reconstructed Partially Edentulous Mandible with Iliac Crest Graft After Ameloblastoma Resection with an Implant-Supported “Toronto Prosthesis”

ÖZTÜRK

KAHRAMAN

DELİLBAŞI

et al. 2023

Journal of Gazi University Health Sciences Institute

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“…Most articles were published after 2013 (25: 71.4%). Four (24%) studies were conducted in India [ 42 , 44 , 55 , 58 ], Turkey [ 27 , 32 , 47 , 49 ] and Brazil [ 37 , 46 , 52 ], 3 (18%) in the USA [ 30 , 35 , 41 ], Spain [ 31 , 50 , 57 ], China [ 28 , 33 , 43 ], Korea [ 38 , 39 , 53 ], 2 (12%) in Italy [ 36 , 48 ], Finland [ 29 , 40 ] and other studies (6%) in Japan [ 54 ], Colombia [ 59 ], Iran [ 56 ], Taiwan [ 25 ], Austria [ 26 ] and Romania [ 45 ] (Tables 2 and 4 ).…”

Section: Resultsmentioning

confidence: 99%

Implant-supported prosthetic rehabilitation after Ameloblastomas treatment: a systematic review

Alarcón-Sánchez,

Becerra-Ruíz,

Yessayan

et al. 2023

BMC Oral Health

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Background Ameloblastoma (AM), the benign counterpart of ameloblastic carcinoma, is a benign odontogenic tumor of epithelial origin, naturally aggressive, with unlimited growth potential and a high tendency to relapse if not adequately removed. Patients with AM treated surgically can benefit from dental implant therapy, promoting oral rehabilitation and improving their quality of life. The present study aimed to determine the survival rate of dental implants placed after surgical treatment of patients affected by AM. In addition, there were two secondary objectives: 1) To evaluate which dental implant loading protocols are most frequently used and 2) To determine the type of prosthetic restoration most commonly used in these patients. Methods The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines were followed during the study. Searches were performed in three databases (PubMed/MEDLINE, Scopus, and Google Scholar) until November 2023. Additionally, the electronic search was enriched by an iterative hand search of journals related to oral pathology and medicine, maxillofacial surgery, and oral prosthodontics and implantology. Only reports and case series in English from January 2003 to date were included. The Joanna Briggs Institute tool (JBI-Case Reports/Case Series) was used for the study quality assessment. Results The total number of patients and implants studied were 64 and 271, respectively, all with surgically treated AM. The patient’s ages ranged from 8 to 79 years, with a mean (SD) age of 37.3 ± 16.4. Fifty-three percent were male and 47% were female. The range of follow-up duration was 1 to 22 years. An implant survival/success rate of 98.1% was reported. In addition, most of them were conventionally loaded (38.3%). Hybrid implant-supported fixed dentures were the most commonly used by prosthodontists (53%). Conclusions Oral rehabilitation with dental implants inserted in free flaps for orofacial reconstruction in surgically treated patients with AM can be considered a safe and successful treatment modality.

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“…Ameloblastoma, being benign tumors still harbor the ability to grow locally aggressive, destructing the adjacent soft tissue and bone with high tendency of recurrence, especially when treated by enucleation. Therefore, a radical surgical resection with approximately one cm safety margin of each side is recommended but elicits significantly more post-resectional morbidity and the need for mandibular or maxillar reconstruction [ 8 , 9 ]. Also facial deformation and secondary degradation of mandibular or maxillar function pose severe morbidity in this relatively young patient population.…”

Section: Discussionmentioning

confidence: 99%

Efficiency of B-RAF-/MEK-inhibitors in B-RAF mutated Ameloblastoma: Case report and review of literature

Büttner,

Gültekin,

Heydt

et al. 2023

Heliyon

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Report of Multidisciplinary Treatment of an Extensive Mandibular Ameloblastoma With Free Iliac Crest Bone Flap, Dental Implants, and Acellular Dermal Matrix Graft

Cited by 9 publications

References 38 publications

Rehabilitation of Surgically Reconstructed Partially Edentulous Mandible with Iliac Crest Graft After Ameloblastoma Resection with an Implant-Supported “Toronto Prosthesis”

Rehabilitation of Surgically Reconstructed Partially Edentulous Mandible with Iliac Crest Graft After Ameloblastoma Resection with an Implant-Supported “Toronto Prosthesis”

Implant-supported prosthetic rehabilitation after Ameloblastomas treatment: a systematic review

Efficiency of B-RAF-/MEK-inhibitors in B-RAF mutated Ameloblastoma: Case report and review of literature

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