title: Orthodontic occlusal reconstruction after conservative treatment of unicystic ameloblastoma in an adolescent patient: 10-year follow-up.
abstract: Conservative treatment of an ameloblastoma often requires an occlusal reconstruction. In this article, we report the successful interdisciplinary treatment of a 14-year-old girl with a unicystic ameloblastoma in the mandible. One year after the marsupialization, enucleation with bone curettage was performed with extraction of the impacted third molar, but the proximal second molar could be maintained. The conservative treatment required long-term use of an obturator, and it caused a total open bite. Additionally, the patient genetically had a Class II malocclusion with severe crowding. Consequently, orthodontic treatment was performed after 4 premolar extractions. There was no recurrence of the ameloblastoma 10 years after the enucleation.
authors.affiliation: Department of Orthodontics and Dentofacial Orthopedics, Graduate School of Oral Sciences, University of Tokushima, Tokushima, Japan.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Tomita
authors.forename: Shingo
authors.initials: S
authors.lastname: Kuroda
authors.forename: Takumi
authors.initials: T
authors.lastname: Takahashi
authors.forename: Ritsuko
authors.initials: R
authors.lastname: Ohura
authors.forename: Eiji
authors.initials: E
authors.lastname: Tanaka
mesh_terms: D000293:Adolescent; D000564:Ameloblastoma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008312:Malocclusion, Angle Class II / Q000150:complications* / Q000628:therapy*; D008339:Mandibular Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D017090:Occlusal Splints / Q000009:adverse effects; D024343:Open Bite / Q000209:etiology / Q000628:therapy; D010158:Palatal Obturators / Q000009:adverse effects; D014095:Tooth, Impacted / Q000209:etiology / Q000601:surgery