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Aggressive unicystic ameloblastoma affecting the posterior mandible: late diagnosis during orthodontic treatment. 2017
Sérgio Lúcio Pereira de Castro Lopes, and
Isadora Luana Flores, and
Thiago de Oliveira Gamba, and
Rivea Ines Ferreira-Santos, and
Mari Eli Leonelli de Moraes, and
Aline Alvarez Cabello, and
Paula Nascimento Moutinho
Department of Diagnosis and Surgery, São José dos Campos Dental School, São Paulo State University, São José dos Campos, Brazil.
Maxillofacial images must be examined to find pathologies not identified during clinical examination. Unicystic ameloblastoma (UA) extending to the mandibular body and ramus was neglected on initial panoramic radiographic examination. After orthodontic therapy, a huge lesion was observed clinically and through imaging exams. After the conservative surgery, no recurrence was observed during five years of follow-up. This case emphasized the need for careful evaluation of patient images focusing on the oral diagnosis before any dental treatment planning, including orthodontic therapy.
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