Treatment Options for Ameloblastomas

Ameloblastoma

• The unicystic type of ameloblastoma is more likely to recur if enucleated
• The most common type of ameloblastoma is the unicystic type
• The peripheral type of ameloblastoma is particularly dangerous due to the difficulty of obtaining an adequate surgical margin around the tumor
• The peripheral type of ameloblastoma accounts for 10% to 15% of all intraosseous ameloblastomas

Adenomatoid Odontogenic Tumor

• Adenomatoid Odontogenic Tumors are commonly seen in the age range of 10-19 years
• Lesions of Adenomatoid Odontogenic Tumors often appear in the anterior maxilla
• The tumor is believed to arise from rests of dental lamina or basal epithelial cells

Other Odontogenic Tumors

• The odontogenic tumor that typically presents with tenderness and tooth mobility is the squamous odontogenic tumor
• The treatment of choice for squamous odontogenic tumors is surgical excision
• The tumor described as a well-circumscribed, often semilunar lesion associated with the cervical region of roots of teeth is the peripheral odontogenic fibroma
• Mixed odontogenic tumors pose a problem in classification due to the varying proportions of epithelial and mesenchymal components
• Enucleation has the highest reported recurrence rates