Abstract
Conventional solid intraosseous ameloblastoma is a benign neoplasm of the gnathic bones, characterized as a slow growing, asymptomatic, painless tumor with a predilection for the mandible. The clinical case reports a 42-year-old, black and male patient, with an increase in volume in the right side of the face. The computed tomography showed hypodense images with destruction of cortical bone in the right maxilla, and after incisional biopsy, the histopathological examination was taken showing that the lesion was a multicystic ameloblastoma. After few months, the tumor expanded, encompassing the entire right maxilla in which hemimaxillectomy was performed under general anesthesia for treatment. After 3 years of observation, a reconstructive surgery was performed with autologous bone graft with concomitant microvascular graft using the tibial bone as donor area. Subsequently, prosthetic rehabilitation with dental implants was conducted resulting in the return of masticatory function and improvement of aesthetics, and better quality of life of the patient. Clinical and radiographic follow-up is being performed without recurrence after 6 years.
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