Background: Odontogenic tumors derived from tooth forming apparatus, either epithelial or ecto-mesenchymal or both. Ameloblastoma is a true neoplasm of odontogenic epithelium, represent 1% of all oral ectodermal tumors and 9% of odontogenic tumors.It is a benign tumor that shows an insidious slow growth, locally invasive with high recurrence rate. Aim: To determine radiographical and clinical features of ameloblastoma in patients reporting to Oral and Maxillofacial Surgery. Study design: Descriptive Cross-Sectional Study Place and duration of study: Department of Oral and Maxillofacial surgery, Multan Medical and Dental College Multan during 6 months. Methodology: A descriptive audit including all patient records with a histopathologically confirmed report of ameloblastoma based on the routine Hematoxylin and Eosin staining during the period of 6 months. Consecutive non-probability sampling technique was used. Results: A total of 140 patient records were included in this study among whom 95 (67.9%) were male and 45(45%) were female. 123 (87.9%) lesions were found in the mandible, while 17(12.1%) in the maxilla. Swelling was the most commonly reported symptom in 137(97.9%) of the cases. Pain and tooth mobility were among other symptoms. Radiographically, the multilocular appearance accounted for 97(69.3%) while uni-loculancy was present in 43(30.7%) of the lesions. Conclusion: This study concluded that males are more affected with ameloblastoma than females. The 2nd and 3rd decades of life were the most common age group affected. Painless swelling was the most common clinical feature reported in ameloblastoma attributing to late diagnosis. Keywords: Ameloblastoma, features, multilocular, Radiograph.
Background: Odontogenic tumors represent the heterogeneous organization of lesions with numerous histopathological characteristics and medical manifestations. Ameloblastoma is real neoplasm of odontogenic epithelium, constitute one percentage of oral complete ectodermal tumors &9percentage of an odontogenic tumors4. This tumor is benign, which suggests the insidious slowly increase, regionally aggressive having excessive recurrence rate5 Aim: To evaluate radiographical features and root resorption among patients of Ameloblastoma reporting to Dept. of OMFS Study Design: Descriptive Cross-Sectional Study Place and duration of study: Department of Oral and Maxillofacial surgery, Multan Dental College Multan. Duration of this study was 2 years from 1st Jan 2021 to 31th Dec 2022. Methodology: A descriptive audit including all patient records with a histo-pathologically confirmed report of ameloblastoma based on the routine Hematoxylin and Eosin stain. Consecutive non-probability sampling technique was used. Results: One hundred and forty people with an ameloblastoma were contained within ours study amongst whom 45(32.1%) were female and 95(67.9%) were men. 123(87.9%) lesions were found in the mandible. Swelling was mostly told symptoms in 137(97.8%) of all cases. 76(54.3%) showed root resorption. Radiographically, the multilocular appearance accounted for 97(69.3%) while uni-loculancy was present in 43(30.7%) of the lesions. Practical implication: This study help in diagnosis of amelolastoma. This also guides the clinician to differentiate different forms of aelolastoma and differentially diagnose from other radiolucent lesions. Conclusion: This study pointed that ameloblastoma was seen more in men when compared with females Most cases showed root resorption. Mostly ameloblastomas were of multi-locular form/pattern with posterior are of lower jaw as most frequent site involved. Keywords: Ameloblastoma, features, radiolucency & Multi-locular
<p><strong>Background and Objective:</strong> Odontogenic tumors are heterogenous lesions with diverse clinical manifestations and histopathological features. Ameloblastoma is a slow growing, sizeable benign tumor with an increased recurrence potential. Radiographically, ameloblastoma mimics other odontogenic tumors occurring in the same region but can be differentiated based on certain features. The objective of the study was to evaluate the radiographic features and presence of root resorption in ameloblastoma as a diagnostic feature in the local population.</p> <p><strong>Methods:</strong> This retrospective hospital-based study was conducted at the Oral and Maxillofacial Surgery Department of Multan Medical and Dental College Multan, Pakistan from 1st Oct 2019 to 31st March 2020. Radiographs of 35 histopathologically confirmed cases of ameloblastoma were included in the study. These radiographs were assessed for site, locularity, and root resorption. Data were processed and analyzed by using SPSS version 23.0</p> <p><strong>Results:</strong> Mean age of the patients was 35.35±18.2 years with male predominance (66% vs. 34%). A total of 55% cases presented below 35 years age group showing increased prevalence in young adults. Multilocular appearance was seen in 24 (68.5%) cases while uni-locular pattern was seen in 12 (31.5%) cases. Root resorption was detected in 19 (54.3%) cases. Statistically, root resorption was not significantly associated with the gender or age of the patients (p > 0.05).</p> <p><strong>Conclusion:</strong> Multi-locular appearance and root resorption are the key radiographical features of ameloblastoma presenting in our population.</p>
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