Tratamiento conservador en ameloblastomaCaso clínico con seguimiento a siete años (Artículo premiado en el Certamen Jóvenes Odontopediatras)

Résumé

Unicystic ameloblastoma is a benign tumour with better treatment response when a conservative approach is chosen. We described a clinical case of a female pediatric patient with the aim of illustrate about less invasive therapeutic options for maxillofacial benign tumours. The clinical case is a 10-year-old female patient, who is referred to Hospital Universitario La Paz because of a radiolucent lesion located in her mandibular angle. Biopsy diagnoses an odontogenic cyst, which is extirpated, while her pathological mandibular fracture, intraoperatively diagnosed, is fixed. 15 months later, an unicystic ameloblastoma is diagnosed, and it is treated with a conservative approach, preserving her premolars, which were adjacent to the tumour. During follow-up, no recurrence was observed and her preserved premolars were correctly erupted. Despite its higher recurrence rate, conservative treatment of unicystic ameloblastoma is currently becoming one of the treatments of choice, especially in pediatric patients, because of its smaller impact on the patient’s quality of life. In this case, as it happened in previously described cases, appropriate eruption of adjacent premolars is observed, in addition to an absence of recurrence. Conservative treatment of unicystic ameloblastoma can be considered as a valid treatment alternative, with proper results related to the patient’s quality of life, avoiding possible consequences and tooth loss.