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Aggressive unicystic ameloblastoma affecting the posterior mandible: late diagnosis during orthodontic treatment

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Lopes Sergio Lucio Pereira de Castro, Flores Isadora Luana, Gamba Thiago de Oliveira, Rivea Ines Ferreira Santos, Moraes Mari Eli Leonelli de, Cabello Aline Alvarez, Moutinho Paula Nascimento,
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 ( Lopes Sergio Lucio Pereira de Castro ) - Sao Paulo State University Sao Jose dos Campos Dental School Department of Diagnosis and Surgery
 ( Flores Isadora Luana ) - Federal University Campus Governador Valadares Department of Dentistry
 ( Gamba Thiago de Oliveira ) - University of Campinas Piracicaba Dental School Department of Oral Diagnosis
 ( Rivea Ines Ferreira Santos ) - City University of Sao Paulo Department of Orthodontics
 ( Moraes Mari Eli Leonelli de ) - Sao Paulo State University Sao Jose dos Campos Dental School Department of Diagnosis and Surgery
 ( Cabello Aline Alvarez ) - Sao Paulo State University Sao Jose dos Campos Dental School Department of Diagnosis and Surgery
 ( Moutinho Paula Nascimento ) - Sao Paulo State University Sao Jose dos Campos Dental School Department of Diagnosis and Surgery

Abstract


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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Oral diagnosis; Dentistry; Diagnostic imaging; Ameloblastoma

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