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Article: Volume 48 Number 7 Page 564 - July/August 2021

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  Dent Update 2021; 48: 564-569

Oral surgery:  Monitoring enlarged dental follicles: case report and literature review of an unusual presentation of a unicystic ameloblastoma

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Abstract: An ameloblastoma is a benign, yet locally aggressive odontogenic tumour. The vast majority (80%) of ameloblastomas arise in the mandible, and unicystic ameloblastomas are commonly found in relation to an unerupted lower third molar. We present the case of a 39-year-old patient with an incidental finding of an enlarged dental follicle around an unerupted lower third molar that progressed to an extensive unicystic ameloblastoma. This ameloblastoma was decompressed and marsupialized before enucleation to reduce the risk of pathological fracture due to the extensive size of the tumour.

Clinical relevance: The case is relevant to general dental practitioners when considering monitoring dental follicles of unerupted teeth because the enlarged dental follicle described progressed to an extensive odontogenic tumour.

Author notes: Lily Long, BDS (Hons), MFDS, Dental Core Trainee, Department of Oral and Maxillofacial Surgery, Pinderfields Hospital, Wakefield. Jasveen Matharu, BDS MFDS, Oral Surgery Specialty Registrar, Department of Oral and Maxillofacial Surgery, Pinderfields Hospital, Wakefield. Sunil Sah MBBS (London), BDS, MFDS, MRCS RCSEd, MSc(Oncology), FRCS(OMFS), Oral and Maxillofacial Consultant, Department of Oral and Maxillofacial Surgery, Pinderfields Hospital, Wakefield. email: lily.long1@nhs.net

Objective: To highlight the importance of dental follicular assessment where unerupted teeth are visible on radiographs and give t an enhanced understanding of the possible sequelae of enlarged dental follicles and the management options.

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