Management of unicystic ameloblastoma of the mandible in a 5-year old child
A 5-year-old boy presented to our unit Center for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India with a painless hard swelling in the lower chin region of 3 months duration. Extra oral examination revealed a facial asymmetry with diffuse swelling over the chin region. Swelling was found to be approximately 2 cm × 2 cm in size, overlying skin was normal in color and texture with no evidence of sinus/fistula.\nIntra oral examination revealed adequate mouth opening with intact deciduous dentition. Swelling was extended from right deciduous molar to left canine. Mucosa overlying was normal in color. Swelling was non-tender, non-pulsatile, bony hard, non-fluctuant, non-compressible on palpation with expansion of both, buccal as well as lingual cortical plates and aspiration from the swelling yielded cystic color fluid.\nPanoramic radiographic revealed that unilocular well-defined radiolucent lesion extending from lower deciduous first mandibular molar to right lower canine with evidence of roots resorption []. All other blood investigations were within the normal limit.\nOn the basis of lingual cortical bone expansion, presence of cystic fluid on aspiration and evident of root resorption of the teeth in the panorex, we made the provisional diagnosis of UA. Treatment was planned according to UA.\nEnucleation of the cyst with extraction of the involved teeth followed by application of Carnoy's solution for 3 min over the cavity was planned under general anesthesia (GA).\nTreatment performed - patient was taken under GA. Planned treatment procedure was carried out successfully. Specimen obtained was sent for histopathological examination.\nHistopathology report of the specimen revealed that type 1 UA as per the histological criteria defined by Ackerman et al. [Figure and ].\nPatient has been on regular follow-up since 2 years, patient is doing well with no signs of recurrence [].