Page 74 - 7. FINAL draft Compendium 2019 2020_22072022

DREDGING: AN ALTERNATIVE APROACH TO EXTENSIVE AMELOBLASTIC FIBROMA: A CASE
REPORT

Lui DT, ChandraseharanP, Sharif JM, Sockalingam G
Introduction: Ameloblastic fibroma (AF) is a rare benign odontogenic tumor of epithelial-
mesenchymal origin as it accounts for only 2% of odontogenic tumor. Generally,
ameloblastic fibroma is painless, slow growing and predominantly found in children.
Literature has shown that they are recommended to be managed with resection of the jaw
to lower the risk of recurrences. Case report: A 7-year-old Malay girl referred to our
department with painless swelling in the left cheek region 3 months ago and its size
enlarged gradually. The Orthopantomogram (OPG), Cone Beam Computed Tomography
(CBCT) and Computed Tomography (CT) Scan taken showed a large multilocular
radiolucency in the left mandible from tooth 75 region extending up to left condyle,
complicated with displaced tooth 35,36,37 and distal root resorption of tooth 75. Incisional
biopsy was done and the histopathological examination (HPE) result confirmed it as AF. In
view of the extent of the lesion and patient’s age, a conservative approach was chosen as
the principal treatment of ameloblastoma which is enucleation and dredging even though
the chances of recurrences for a multilocular ameloblastic fibroma lesion is extremely high.
During the 7 months of post dredging, positive improvements can be seen with formation
of new bone for eventual achievement of normal contour of jaw and no signs of recurrence
noted. Conclusion: This present case highlights that the Ameloblastic fibroma (AF)
successfully being managed by using a conservative approach such as enucleation,
chemical curettage and dredging method while a radical surgery e.g resection of the jaw
can be avoided.

Presented at the 5 MAPD Biennial Scientific Conference & Trade Exhibiton on 13 April 2019
th
th
Dr Dwen-Tjin Lui
Dr Prasanna Chandraseharan
Dr Ganasalingam A/L Sockalingam
Department of Paediatric Dentistry
Tunku Azizah Hospital
Kuala Lumpur

Dr Jama’iah Mohd Shariff
Dental Centre
Sunway Medical Centre Sdn. Bhd
Selangor Malaysia

52