Treatment Possibilities in Mandibular Defect Reconstruction Based on Ameloblastic Fibro-Odontoma Treatment—Does Small Bone Defects Heal without Bone Grafting?

• Published in: Applied sciences Vol. 12; no. 24; p. 12963
• Main Authors: Nelke, Kamil, Pawlak, Wojciech, Łukaszewski, Marceli, Janeczek, Maciej, Pasicka, Edyta, Barnaś, Szczepan, Morawska-Kochman, Monika, Dobrzyński, Maciej
• Format: Journal Article
• Language: English
• Published: Basel MDPI AG 01.12.2022
• Subjects: ameloblastic fibro-odontoma; Asymptomatic; Biopsy; Bone grafts; Bone healing; Bone tumors; Calcification; Classification; Curettage; Cysts; Enucleation; Grafting; Grafts; Healing; Lesions; Localization; Mandible; mandibular defect; odontogenic tumor; Odontogenic tumors; PRF; Skin & tissue grafts; Substitute bone; Surgery; Teeth; Tumors; wisdom teeth
• ISSN: 2076-3417; 2076-3417
• DOI: 10.3390/app122412963

The occurrence and manifestation of each ameloblastic fibro-odontoma (AFO) is quite rare and uncommon. Mentioned odontogenic tumor classification had changed over the years; however, the treatment possibilities for this lesion remain the same. In most cases surgical enucleation is sufficient enough; however, bigger lesions might require bone curettage with sometimes performed bony ostectomy, which is a quite sufficient and effective method of treatment. In the presented case report, a panoramic radiological evaluation indicated an impacted molar tooth surrounded with mixed radiolucent/radiopaque areas. The 10-year-old Caucasian girl was scheduled for an incisional biopsy. The bone cavity in the mandible after tumor removal might be left for spontaneous healing or grafting techniques, depending on the shape and size of the defect. In the presented case report, the usage of PRF/iPRF in the mandibular bone cavity, and healing improved the overall final result.