Radiographical And Clinical Features of Ameloblastoma Among Patients Visiting The Tertiary Care Hospital

Abstract

Background: Odontogenic tumors derived from tooth forming apparatus, either epithelial or ecto-mesenchymal or both. Ameloblastoma is a true neoplasm of odontogenic epithelium, represent 1% of all oral ectodermal tumors and 9% of odontogenic tumors.It is a benign tumor that shows an insidious slow growth, locally invasive with high recurrence rate.

Aim: To determine radiographical and clinical features of ameloblastoma in patients reporting to Oral and Maxillofacial Surgery.

Study design: Descriptive Cross-Sectional Study

Place and duration of study: Department of Oral and Maxillofacial surgery, Multan Medical and Dental College Multan during 6 months.

Methodology: A descriptive audit including all patient records with a histopathologically confirmed report of ameloblastoma based on the routine Hematoxylin and Eosin staining during the period of 6 months. Consecutive non-probability sampling technique was used.

Results: A total of 140 patient records were included in this study among whom 95 (67.9%) were male and 45(45%) were female. 123 (87.9%) lesions were found in the mandible, while 17(12.1%) in the maxilla. Swelling was the most commonly reported symptom in 137(97.9%) of the cases. Pain and tooth mobility were among other symptoms. Radiographically, the multilocular appearance accounted for 97(69.3%) while uni-loculancy was present in 43(30.7%) of the lesions.

Conclusion: This study concluded that males are more affected with ameloblastoma than females. The 2^nd and 3^rd decades of life were the most common age group affected. Painless swelling was the most common clinical feature reported in ameloblastoma attributing to late diagnosis.