Ameloblastomas - seven years clinical audit

ABSTRACT

To determine the pattern and presentations of ameloblastoma in patients reporting to Armed Forces Institute of Dentistry [AFID], a descriptive study was undertaken from June 2002 to June 2009. A total number of 34 Ameloblastoma patients who were treated at the institute were analyzed. Their mode of presentation, site involved, various age groups and gender distributions, histological patterns, clinical and radiological features, treatment offered and follow up was recorded. The age range was from 15 to 65 years with mean age of 37.6 years. Out of 34 patients, 24 [70.6%] were males and 10 [29.4%] were females. Majority of tumours, 28 [82.3%] were present in mandible and the most common site was angle of the mandible 13[38.2%]. Clinically most common feature was swelling without pain and was experienced by 19 [55.9%] patients. Radiographically, there were 19 [55.9%] patients with multilocular radiolucency and 11 [32.4%] patients with unicystic appearance while 4 [11.8%] patients had typical honeycomb appearance. The most common histological pattern was follicular, seen in 21 [61.8%] patients. Enucleation with curettage was carried out in most of the cases 11 [32.4%], marginal resection was done in 10 [29.4%] cases, segmental resection was performed in 7 [20.6%] patients and radical resection with reconstruction was done in 6 [17.6%] patients. Ameloblastoma is one of the most common odontogenic tumour mostly occur in lower jaw. It is locally invasive and have high rate of recurrence therefore early diagnosis, complete excision with safe margins followed by reconstruction and long term follow up is required for psychological and emotional well being of the patient