Mandibular Ameloblastoma Recurrence: Radical Approach with Immediate Reconstruction

Ameloblatoma is a benign odontogenic tumor of epithelial origin, with specific clinical features as cortical expansion, painless, associated with tooth displacement and root resorption. Ameloblastoma treatment is controversial. There are conservative and aggressive treatment options, ranging from a simple enucleation associated or not with curettage to a complete mandibular resection with secure margins. This paper aims to expose a clinical case of a 60 years old patient, male, who presented with an ameloblastoma in right mandibular body 15 years ago treated by a conservative way. Treatment failed and tumor recurred 2 years ago when radical treatment option based on mandibular resection and immediate reconstruction with anterior iliac crest graft was chosen. Then, resection of ameloblastoma and immediate reconstruction proved to be a secure and effective option, providing satisfactory functional and aesthetic results as facial symmetry and later dental rehabilitation.