Tues 7th December 2021 @7pm
Contemporary Restorative Endodontics - Preserving dentine while respecting the true, natural anatomy
Jon Cowie & Luca Moranzoni
Sponsored by Dentsply Sirona


Weds 8th December 2021 @7pm
Increasing new patients without increasing clinical time
Dr Chaw-Su Kyi
Sponsored by Align Technology


Thurs 9th December 2021 @7pm
Planning an aligner case with CS Model+
Dr Sana Luqmani & Paul Higginson
Sponsored by Carestream Dental


Tues 14th December 2021 @7pm
Straumann TLX – The Next Generation in Tissue Level Implants
Professor Shakeel Shahdad and Dr Faresh Desai
Sponsored by Straumann


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

  Dent Update 2021; 48: 564-569  Read article

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

CPD:  CPD  0:24   (closed)      Self assess

Feedback:  0 comments, 0 ratings


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.