Radiographic imagery of aggressive plexiform-type ameloblastoma in the mandible: a case report

A rare case report

  • Rakhmat Putra Guru Arnawansah Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia 90245
  • Barunawaty Yunus Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Universitas Hasanuddin, Makasar, Indonesia, 90245
  • Fadhlil Ulum Abdul Rahman Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Hasanuddin University, Makasar, Indonesia, 90245
  • Yossy Yoanita Ariestiana Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makasar, Indonesia, 90245
  • Husni Mubarak Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia 90245

Abstract

Objectives: This case report aims to describe the radiographic characteristics of plexiform ameloblastoma and its impact on surrounding tissues in a middle-aged female patient using panoramic radiography and CBCT, along with case management.
Case Report: A 43-year-old female patient presented to the Dental Radiology Unit of RSGMP UNHAS with a panoramic referral letter, diagnosed clinically with anterior mandibular ameloblastoma. Extraoral examination revealed an asymmetrical facial appearance with anterior mandibular enlargement. Intraoral examination showed mucus membrane enlargement in the anterior mandible region (teeth 37-45), soft consistency, absence of crepitus, no palpation tenderness, and mobility in several anterior mandibular teeth. The first panoramic radiograph (March 16, 2022) exhibited a unilocular radiolucent lesion, well-defined, with scalloped margins in the anteroposterior mandibular region. The second panoramic examination (May 23, 2022) indicated a more aggressive lesion expansion, with evidence of root resorption and destruction of the inferior mandibular cortex approaching the mandibular angle. CBCT findings demonstrated a hypodense/radiolucent lesion extending anteroposteriorly, superiorly, and inferiorly, leading to displacement, root resorption, and destruction of the inferior mandibular cortex in the inferior direction.
Conclusion: Based on the characteristics and structure of the lesion observed through various radiographic examinations, a unilocular ameloblastoma was suspected. Histopathological examination confirmed the plexiform-type ameloblastoma.

Author Biographies

Rakhmat Putra Guru Arnawansah, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia 90245
Oral and Maxillofacial Radiology Residency Program
Barunawaty Yunus, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Universitas Hasanuddin, Makasar, Indonesia, 90245
Staff
Fadhlil Ulum Abdul Rahman, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Hasanuddin University, Makasar, Indonesia, 90245
Staff
Yossy Yoanita Ariestiana, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makasar, Indonesia, 90245
Staff
Husni Mubarak, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia 90245
Oral and Maxillofacial Surgery Specialist Program

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Published
2023-12-31
How to Cite
ARNAWANSAH, Rakhmat Putra Guru et al. Radiographic imagery of aggressive plexiform-type ameloblastoma in the mandible: a case report. Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 7, n. 3, p. 111-116, dec. 2023. ISSN 2686-1321. Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/954>. Date accessed: 24 apr. 2024. doi: https://doi.org/10.32793/jrdi.v7i3.954.

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