Inter J Stomatol ›› 2017, Vol. 44 ›› Issue (2): 157-160.doi: 10.7518/gjkq.2017.02.008

• Original Articles • Previous Articles     Next Articles

Using fenestration and decompression technique to treat unicystic ameloblastoma and preserve the second molar

Li Wenchao, Ruan Ning, Xu Jiang   

  1. 1. Dept. of Oral Surgery, Chifeng University Affiliated Hospital, Chifeng 024000, China;
    2. Dept. of Stomatology, The First Affiliated Hospital of Medical College of Shihezi University, Shihezi 832000, China
  • Received:2016-08-08 Online:2017-03-01 Published:2017-03-01
  • Supported by:
    This study was supported by Natural Science Foundation of the Inner Mongolia Autonomous Region(2016MS0808).

Abstract: Objective To observe fenestration and decompression technique in the treatment of unicystic ameloblastoma while observing the efficacy of the method in preserving the mandibular second molar. Methods Unicystic ameloblastoma of six patients was treated using fenestration and decompression technique and tumor removal surgery while preserving the mandibular second molar. The patients were followed up for 1 to 5 years. Results Eight months after decompression, tumor shrinkage(61.62%), thickening of the lower edge of the mandible bone, and trabecular bone formation were assessed. Six months after tumor removal, jaw morphology recovered, and the features of the mandibular second molar were preserved. No recurrence of tumor was observed in the 1 to 5 years of follow up, and the mandibular second molar functioned well. Conclusion The fenestration and decompression technique along with tumor removal surgery to treat unicystic ameloblastoma not only reduces the disfigurement of the patient, but also preserves the function of jaw and teeth. Satisfactory clinical Results were achieved.

Key words: unicystic ameloblastoma, fenestration, decompression, second molar

CLC Number: 

  • R782.05

TrendMD: 
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