PMC8616701_01
Preoperative panoramic radiograph.
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After the radiographic examination, the presence of multicystic ameloblastoma was suspected (Figure 1), which was confirmed by histological examination.
Excised bone.
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According to Ord et al., the treatment of ameloblastoma would be complicated because of continued growth and a higher percentage of cancellous bone which increased bone turnover and high periosteal reactivity, so the treatment should be in the same way used with adults; therefore, a partial resection of the mandible from the tooth 33 until the ramus was done while keeping the condyle (Figure 2).
The titanium reconstruction plate.
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During this period, a transpalatal arch was applied to prevent rotation of upper molars and maintain the arch width (Figures 3 and 4).
Postoperative view with the graft.
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During this period, a transpalatal arch was applied to prevent rotation of upper molars and maintain the arch width (Figures 3 and 4).
Intraoral view.
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Final impression.
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To fill the missed area of the resected mandible in the tray, impression compound sticks (Kerr, Italy) were used to support the final impression material and to make the border molding; then, the functional impression was made with irreversible hydrocolloid material (Zetaplus, Zhermak, Italy) and poured with the pink gypsum type IV (Shera, Italy) (Figure 6).
The flexible denture.
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Flexible dentures inside the mouth.
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A radiographic image after denture delivery.
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