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Mandibular unicystic ameloblastoma revealed by florid epulis of the gum: Case report.

ABSTRACT: Ameloblastomas are quite frequent odontogenic tumors, they can be intraosseous or peripheral to the gum, it's rare to find an intraosseous ameloblastoma with gingival extension. Here, we report the case of a 40 years old woman who presented with an exophytic gingival lesion at the gum level of the 46 tooth that was extracted at a quack 01 years before her consultation due to pain in this area. Clinical and radiological examination revealed the presence of two tumors in the same area. The patient benefited from an excision of her gingival tumor and an enucleation of her intraosseous tumor. Histopathological and immunohistochemical examinations revealed that the respective tumors were a spindle cell epulis and an intraluminal unicystic ameloblastoma of different origins, leaving the question and search for the relationship between these two tumors. The postoperative course was uneventful during the 12-month follow-up period after surgical treatment.

SUBMITTER: Kaouani A

PROVIDER: S-EPMC8178072 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature

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Mandibular unicystic ameloblastoma revealed by florid epulis of the gum: Case report.

Kaouani Amine A Kerdoud Ouassime O Aloua Rachid R Slimani Faical F

Annals of medicine and surgery (2012) 20210525

Ameloblastomas are quite frequent odontogenic tumors, they can be intraosseous or peripheral to the gum, it's rare to find an intraosseous ameloblastoma with gingival extension. Here, we report the case of a 40 years old woman who presented with an exophytic gingival lesion at the gum level of the 46 tooth that was extracted at a quack 01 years before her consultation due to pain in this area. Clinical and radiological examination revealed the presence of two tumors in the same area. The patient ...[more]

PMID: 34136210

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Project description:BackgroundMolariform second premolar is a rare dental anomaly where the second premolar resembles a molar in size and shape. This condition is often linked to macrodontia, a rare enlargement of teeth that disrupts dental proportions and can manifest in isolated, relative, or generalized forms. Although mandibular second premolars are more prone to morphological variability, the occurrence of bilateral molariform premolars, induced by a unique form of gemination, is exceptionally uncommon and infrequently documented, thus making this case clinically significant.Case presentationThis case report illustrates a rare bilateral presentation of molariform second premolars in the mandibular arch of a young patient. Both premolars displayed exaggerated mesiodistal dimensions, molar-like occlusal morphology with multiple cusps, and disproportionate faciolingual dimensions. Diagnosis was established through detailed clinical examination and radiographic evaluations. The report explores the treatment challenges posed by the enlarged tooth size and abnormal morphology, including their impact on orthodontic alignment and restorative planning. The patient was scheduled for reshaping of the macrodont premolars after finishing orthodontic treatment, which was planned for correction of overjet, overbite, as well the deep curve of spee.ConclusionsMolariform premolars, though uncommon, have a profound impact on dental alignment and treatment outcomes. Their morphological uniqueness might potentially be ignored; therefore, dental professionals should remain vigilant for such anomalies during routine examinations to prevent complications like crowding, malocclusion, and caries. Early diagnosis and strategic intervention are crucial for prevention and interdisciplinary management of unexpected complications during dental procedures. This case emphasizes the importance of routine examination and interdisciplinary collaboration in identifying and treating such anomalies.

Dataset Information

Mandibular unicystic ameloblastoma revealed by florid epulis of the gum: Case report.

Publications

Mandibular unicystic ameloblastoma revealed by florid epulis of the gum: Case report.

Similar Datasets

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