journal article·2022-12-16Open access

Treatment Possibilities in Mandibular Defect Reconstruction Based on Ameloblastic Fibro-Odontoma Treatment—Does Small Bone Defects Heal without Bone Grafting?

Kamil Nelke, Wojciech Pawlak, Marceli Łukaszewski, Maciej Janeczek, Edyta Pasicka, Szczepan Barnaś, Monika Morawska-Kochman, Maciej Dobrzyński

Applied Sciences· Volume 12· Issue 24

Abstract

The occurrence and manifestation of each ameloblastic fibro-odontoma (AFO) is quite rare and uncommon. Mentioned odontogenic tumor classification had changed over the years; however, the treatment possibilities for this lesion remain the same. In most cases surgical enucleation is sufficient enough; however, bigger lesions might require bone curettage with sometimes performed bony ostectomy, which is a quite sufficient and effective method of treatment. In the presented case report, a panoramic radiological evaluation indicated an impacted molar tooth surrounded with mixed radiolucent/radiopaque areas. The 10-year-old Caucasian girl was scheduled for an incisional biopsy. The bone cavity in the mandible after tumor removal might be left for spontaneous healing or grafting techniques, depending on the shape and size of the defect. In the presented case report, the usage of PRF/iPRF in the mandibular bone cavity, and healing improved the overall final result.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Oral and Maxillofacial Pathology · Periodontal Regeneration and Treatments · dental development and anomalies

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Maxillo-Facial Surgery Ward, Sokołowski Hospital, Sokołowskiego 4, 58-309 Wałbrzych, Poland

Department of Anaesthesiology and Intensive Care, Sokołowski Hospital, Sokołowskiego 4, 58-309 Wałbrzych, Poland

Department of Biostructure and Animal Physiology, Wrocław University of Environmental and Life Sciences, Kożuchowska 1, 51-631 Wrocław, Poland

Department of Otolaryngology, Head and Neck Surgery, 4th Military Hospital in Wrocław, Weigla 5, 50-981 Wrocław, Poland

Department of Head and Neck Surgery, Otolaryngology Medical University in Wrocław, Borowska 213, 50-556 Wrocław, Poland

Department of Pediatric Dentistry and Preclinical Dentistry, Wrocław Medical University, Krakowska 26, 50-425 Wrocław, Poland

Funding

Wroclaw Medical University

References (51)

Show source-provided references
1. Endoscopic removal of a mandibular ameloblastic fibro-odontoma10.1016/j.stomax.2009.03.011 ↗
2. Ameloblastic fibro-odontoma: A case report10.4317/medoral.14.e650 ↗
3. Ameloblastic fibro-odontoma in children: Report of 2 cases
4. Ameloblastic fibro-odontoma masquerading as odontoma10.4103/0970-9290.90332 ↗
5. Ameloblastic fibro-odontoma: A clinicopathologic study of 12 cases10.17796/jcpd.35.4.t3387t25865758w3 ↗
6. Delayed tooth eruption associated with an ameloblastic fibro- odontoma
7. Odontogenic tumors, WHO 2005: Where do we go from here?10.1007/s12105-014-0585-x ↗
8. Barnes, L., Eveson, J.W., Reichart, P., and Sidransky, D. (2005). World Health Organization Classification of Tumours: Pathology and Genetics, Head and Neck Tumours, IARC Press.
9. Odontogenic tumors: Where are we in 2017?10.17096/jiufd.52886 ↗
10. El-Naggar Chan, J.K.C., Grandis, J.R., Takata, T., and Slootweg, P. (2017). WHO Classification of Head and Neck Tumours. Chapter 8: Odontogenic and Maxilofacial Bone Tumours, IARC. [4th ed.].
11. Ameloblastic Fibro-Odontoma: At the Crossroad between “Developing Odontoma” and True Odontogenic Tumour10.1007/s12105-021-01332-6 ↗
12. Ameloblastic fibro-odontoma in a 9-year-old boy
13. Ameloblastic Fibro-Odontoma: A Journey of Progression?10.4103/jomfp.jomfp_184_21 ↗
14. Ameloblastic fibro-odontoma10.1136/bcr-2015-209739 ↗
15. Large ameloblastic fibro-odontoma in an 18-year-old girl and review of literature
16. A large ameloblastic fibro-odontoma in the mandible
17. Aggressive ameloblastic fibro-odontoma assessment with CBCT and treatment10.1007/s40368-013-0032-9 ↗
18. Evaluation of an ameloblastic fibro-odontoma with cone beam computed tomography
19. Pericoronal radiolucency with radiopacities of posterior mandible. Ameloblastic fibro-odontoma
20. Clinical and radiological profile of ameloblastic fibro-odontoma: An update on an uncommon odontogenic tumor based on a critical analysis of 114 cases10.1007/s12105-012-0397-9 ↗
21. Re: “Pontes et al. Report of four cases of ameloblastic fibro-odontoma in mandible and discussion of the literature about the treatment. J. Craniomaxillofac. Surg. 2012, 40, 59–63”
22. Peripheral ameloblastic fibro-odontoma or peripheral developing complex odontoma: Report of a case10.1111/j.1365-263X.2011.01144.x ↗
23. Hybrid odontogenic tumor with features of ameloblastic fibro-odontoma, calcifying odontogenic cyst, and adenomatoid odontogenic tumor: A case report and review of the literature10.1016/j.joms.2009.04.118 ↗
24. Complex composite odontoma with characteristic histology
25. Odontogenic tumors10.1097/SCS.0b013e3182997aaf ↗
26. Ameloblastic fibro-odontoma: A case report
27. A massive ameloblastic fibro-odontoma of the maxilla10.4103/0970-9290.40474 ↗
28. An unusual size of ameloblastic fibro-odontoma10.1259/dmfr/25869989 ↗
29. A large ameloblastic fibro-odontoma of the right mandible
30. Recurrent ameloblastic fibro-odontoma in a 10-year-old boy10.1053/joms.2001.27537 ↗
31. Recurrence of an ameloblastic fibro-odontoma in a 9-year-old boy10.1016/S0278-2391(99)90088-5 ↗
32. A compound odontoma in the path of an erupting incisor10.1136/bcr-2013-200825 ↗
33. Large Complex Odontoma: A report of a rare entity10.12816/0003250 ↗
34. Ameloblastic fibro-odontoma: A conservative surgical approach10.4317/medoral.14.e654 ↗
35. Pediatric mandibular ameloblastic fibro-odontoma10.1016/j.stomax.2011.03.001 ↗
36. Presence of Cells in Fresh-Frozen Allogeneic Bone Grafts from Different Tissue Banks10.1590/0103-6440201701206 ↗
37. Xiang, X., Shi, P., Zhang, P., Shen, J., and Kang, J. (2019). Impact of platelet-rich fibrin on mandibular third molar surgery recovery: A systematic review and meta-analysis. BMC Oral Health, 19.10.1186/s12903-019-0824-3 ↗
38. Bone regeneration around immediate placed implant of molar teeth with autologous platelet-rich fibrin: Two case reports10.1097/MD.0000000000013058 ↗
39. Pietruszka, P., Chruścicka, I., Duś-Ilnicka, I., and Paradowska-Stolarz, A. (2021). PRP and PRF-Subgroups and Divisions When Used in Dentistry. J. Pers. Med., 11.10.3390/jpm11100944 ↗
40. Platelet-Rich Fibrin as an Aid to Soft- and Hard-Tissue Healing10.1007/s12663-019-01317-7 ↗
41. Regenerated Traumatic Bone Cyst with Platelet-Rich Fibrin in the Mandible: A Case Report10.1002/cap.10099 ↗
42. Bone grafts in craniofacial surgery10.1055/s-0029-1215875 ↗
43. Bone graft harvesting from regional sites10.1016/j.coms.2010.04.006 ↗
44. Ameloblastic fibro-odontoma of the anterior mandible in a 22-month-old boy10.4103/0970-9290.74237 ↗
45. Ameloblastic fibro-odontoma: A diagnostic challenge
46. Ameloblastic fibro odontoma
47. Ameloblastic fibrosarcoma: A rare malignant odontogenic tumor10.1016/j.anorl.2013.03.001 ↗
48. Ameloblastic fibrosarcoma of the upper jaw: Report of a rare case with long-term follow-up
49. Ameloblastic fibrosarcoma of the mandible: Report of 2 chemosensitive pediatric cases10.1097/MPH.0b013e31821ba989 ↗
50. Ameloblastic fibrosarcoma: A cytologist’s perspective10.1002/dc.21500 ↗
51. The World Health Organization Classification of Odontogenic Lesions: A Summary of the Changes of the 2022 (5th) Edition