Oral Rehabilitation of Patients with Ameloblastoma of the Mandible. Clinical Results in Three Patients with Different Bone Reconstruction Techniques

Ameloblastoma is the second most common odontogenic tumor. It shows a locally aggressive behavior, with a high level of recurrence. Wide resection of the jaw is recommended for treatment of ameloblastoma. However, radical surgery causes an abnormal mandibular movement, facial asymmetry, and masticatory dysfunction.

Three cases of different types of ameloblastoma is presented, with different reconstruction techniques including Non-Vascularized Bone Graft (NVBG), Osteocutaneous Fibula Free Flap (OFFF), and Deep Circumflex Iliac Artery flap (DCIA).

In all three cases the tumor site was successfully reconstructed to obtain very good esthetic results as well as functional oral rehabilitation with implants and fixed prosthetics for optimal masticatory function.

For reconstruction of the mandible, we prefer bone grafts from the iliac crest. The natural curvature and variable bone height offer a very good reconstruction of the defect.