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Article: Volume 44 Number 9 Page 852 - October 2017

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  Dental Update 449: 852-862

OralSurgery/Prosthodontics:  Implant-Supported Prosthetic Rehabilitation after Surgical Management of an Odontogenic Tumour of the Mandible

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Abstract: n adenomatoid odontogenic tumour (AOT) is an uncommon, benign, slow-growing tumour which is usually located in the anterior region of the maxilla without pain and represents 2.2−7.1% of all odontogenic tumours. An AOT often causes expansion of surrounding bone and displacement of adjacent teeth. The tumour is usually associated with an unerupted tooth, frequently canines or lateral incisors. Radiographically, they usually appear unilocular and may contain calcifications, and frequently resemble other odontogenic lesions such as dentigerous cysts or ameloblastoma. Treatment is conservative and the prognosis is excellent. The surgical management and implant-supported prosthodontic rehabilitation of an extrafollicular AOT case that occurred in the left premolar region of the mandible, causing painless swelling in a 25-year-old female patient, is presented. To the best of the authors’ knowledge, this is the first extrafollicular type AOT case rehabilitated with dental implants following the total surgical enucleation.

Clinical relevance: This article illustrates the healing capacity of jaw bones, which enables subsequent implant placement.

Author notes: Duygu Ofluoglu, DDS, PhD, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Sertan Ergun, Associate Professor, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Burcu Guzelbey, MD, Cerrahpasa Faculty of Medicine, Department of Pathology, Hakki Tanyeri, Professor, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Istanbul University, Beyazit, 34452 Fatih/Istanbul, Turkey.

Objective: To describe implant-supported prosthetic rehabilitatıon after surgery in the mandible.