Title : A new conservative algorithm for treatment of Locally aggressive tumors
Abstract:
Ameloblastoma is a locally aggressive benign tumor affecting the jaw bones accounting for 1% of all oral tumors. However owing to their high recurrence rate and locally aggressive behaviour, the most common method of treatment employed is resection followed by various modalities of reconstruction. Similarly Odontogenic keratocysts are benign cystic lesion affecting the jaw bones accounting for about 5-10% of all cyst and with high recurrence rate. In this study we evaluated 20 young patients with Odontogenic keratocyst and ameloblastoma. The modality of treatment was conservative by enucleation and iodoform packing. The pack was changed every 1 week for 3 months and follow up was done clinically and radiographically for 8 years. There was uneventful healing and bone regeneration with no evidence of recuurence. Most the cases, included in our study were children less than 12 years of age. For them resection is an aggressive procedure which results in severe deformity all throughout their life. Although there is need for long term follow up, we were able to conserve the patient’s own bone during the growth period.
