We are using cookies to implement functions like login, shopping cart or language selection for this website. Furthermore we use Google Analytics to create anonymized statistical reports of the usage which creates Cookies too. You will find more information in our privacy policy.
OK, I agree I do not want Google Analytics-Cookies
European Journal of Oral Implantology
Login:
username:

password:

Plattform:

Forgotten password?

Registration

Eur J Oral Implantol 9 (2016), No. 2     16. June 2016
Eur J Oral Implantol 9 (2016), No. 2  (16.06.2016)

Page 189-193, PubMed:27314127


Solid ameloblastoma mimicking a periodontal defect: A diagnostic dilemma
Sinha, Deepti / Dormaar, Titiaan / Salvo, Natalia / Politis, Constantinus / Bornstein, Michael M. / Jacobs, Reinhilde
Purpose: To report a rare presentation of an ameloblastoma mimicking an endo-periodontal lesion.
Materials and methods: In this case report, we present the unusual clinical course of a 78-year-old Caucasian male patient, seeking single tooth implant rehabilitation at location 42 (lower right lateral incisor), initially unsuccessfully treated at different clinics for a persistent endo-periodontal lesion associated with this tooth, by both an endodontist and a periodontologist, which finally lead to tooth loss.
Results: CBCT imaging of the anterior mandible region revealed a persistent radiolucency and subsequent enucleation of the lesion in the partially healed extraction socket revealed the true underlying diagnosis: a solid follicular ameloblastoma. A re-entry with biopsy was planned after radiological confirmation of lesion growth 1 year later, reconfirming the diagnosis and necessitating partial segment resection of the mandible.
Conclusions: In the presence of lesions refractory to therapy, consideration towards a broader differential diagnosis and an appropriate investigation should be undertaken before the decision on implant placement.

Keywords: ameloblastoma, cone beam computed tomography, dental implant, mandible, periapical lesion, periodontal defect