A Clinico- Radiographic (2D&3D) Analysis of Ameloblastoma: With Impacted and Non-Impacted Teeth

Abstract

Background: Ameloblastoma is a rare odontogenic neoplasm of the mandible and maxilla, with multiple histologic variants, and high recurrence rates if improperly treated. Objective: To evaluate the various clinical and radiological behavior (2D & 2D) of histologically diagnosed ameloblastoma with or without impacted teeth. Materials and Methods: The present hospital-based retrospective study was conducted by reviewing the clinical and radiographic records of ameloblastoma cases from 2018 to 2021, available in the archives of the department. A total of 21 patients were analyzed were grouped into 1 and 2 on the basis of radiographic findings, ameloblastoma with impacted teeth and without impacted teeth. Results: We observed that the patients affected with ameloblastoma were in the age-group of 21–40 yrs. The male: female ratio was 1.5:1 in group 1 and 3:1 in group 2. The posterior mandible (70% in group 1 and 100% in group 2) was more commonly affected than the maxilla. Multilocular appearance was seen in 75% of group 2 and 10% of group 1 cases. Effect on adjacent teeth like displacement (70%), knife edge root resorption (70%) and loss of lamina dura (90%) were most commonly associated with group 1 compared to group 2. Conclusion: Ameloblastoma is usually benign tumors. Thorough history along with clinical examination and interpretation of radiographs are necessary to diagnosis this lesion accurately for early treatment and better prognosis.