Ameloblastoma of the mandible in Anbar province. A prospective study

Abstract

Objectives: The purpose of this study was to find out the incidence of histologic types of mandibular ameloblastoma in Anbar Province and its radiographic appearance in respect to age and site.Study design: Aprospective study was conducted in Anbar Province on 38 patients whose ages ranged from 18- 54 years (28 males and 10 females) with radiologically and histologically confirmed ameloblastoma of mandible from November 2008- August 2011. Patients were treated in Maxillofacial Surgery Department/ College of Dentistry/ Anbar University and Maxillofacial Unit of Ramadi Teaching Hospital. According to investigations, each type and location of the tumor was matched radiologically and histologically with age and site. All cases were surgically treated by resection of the mandible and enucleation of the tumor with or without bone graft. Results: Radiologically, 55% of casees presented as unilocular and 45% as multilocular. Histologically, cases appeared as follicular (37%) and plexiform (42%) in younger age groups, while in older patients they were acanthomatous (21%). Conclusion: Follicular and plexiform ameloblastomas occur in younger patients and more frequently in the posterior part of the jaws. In contrast, the acanthomatous ameloblastoma is found in older patients and frequently more anterior than other types.