Case Report

Treatment Algorithm for Ameloblastoma

Table 1

See [6].

Anatomical locationUnicystic lesionMulticystic/solid lesion

Anterior mandible (cuspid-cuspid)Curettage/enucleationMarginal resection
Small lesion <3 cm, enucleation with peripheral osteotomy
Posterior mandible (bicuspids-condyle)Curettage/peripheral ostectomyMarginal resection without continuity defect (1-2.0 cm margin inferior/posterior border)
Segmental resection with continuity defect →  thinning of inferior/posterior border
Anterior maxilla (cuspid-cuspid)Partial maxillectomyPartial maxillectomy
Posterior maxilla (bicuspid pterygoid plate)Total maxillectomyTotal maxillectomy

Note. The histologic variant types of ameloblastoma should also be considered during treatment planning for all the cases.