Curettage combined with bone cavity opening reduces recurrence of the mandibular conventional ameloblastoma and effectively preserves the mandible: a retrospective study

Patients with mandibular conventional ameloblastoma undergoing radical surgical treatment experience greater trauma and often find it challenging to accept, whereas conservative therapy is associated with a higher recurrence rate. In this study, we have improved traditional conservative treatment fo...

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Bibliographic Details
Published in:BMC oral health 2023-11, Vol.23 (1), p.885-885, Article 885
Main Authors: Zhang, Yuan, Xing, Aili, He, Jingya, Wang, Feng, Li, Zhongrui, Sun, Bin
Format: Article
Language:English
Subjects:
Ameloblastoma
Ameloblastoma - surgery
Bone growth
Bone mineral density
Bones
Care and treatment
Conservative treatment
Conventional ameloblastoma
Curettage
Deformities
Density
Diagnosis
Fractures
General anesthesia
Growth rate
Hospitals
Humans
Iodine
Mandible
Mandible - surgery
Mandibular Neoplasms - surgery
Metabolism
Neoplasm Recurrence, Local - surgery
Oral health
Patients
Professional ethics
Quality of life
Retrospective Studies
Surgery
Traditional treatment
Tumors
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Summary:Patients with mandibular conventional ameloblastoma undergoing radical surgical treatment experience greater trauma and often find it challenging to accept, whereas conservative therapy is associated with a higher recurrence rate. In this study, we have improved traditional conservative treatment for mandibular conventional ameloblastoma by curettage combined with bone cavity opening (Cur/BCO). This retrospective study aimed to evaluate the effectiveness of the Cur/BCO treatment by comparing its recurrence rate and bone mineral density (BMD) growth rate with the traditional conservative treatment approach. A total of 40 patients, meeting the study's inclusion and exclusion criteria from 2012 to 2020, were screened, with 20 in the modified group and 20 in the traditional group. ImageJ (RRID: SCR_003070) software was employed for measuring image indices. All data were analyzed using T-test, Chi-square test and Fisher exact test in SPSS 26.0 (p = 0.05). The incidence of recurrence was significantly lower in the modified group, at only 5%, compared to 35% in the traditional group (p 
ISSN:1472-6831
1472-6831
DOI:10.1186/s12903-023-03660-1