Anterior Ameloblastoma, Masquerading a Residual Cyst: A Case Report

Abstract

Background: Ameloblastoma is a benign odontogenic tumor of epithelial origin that exhibits a locally aggressive
behaviour with a high level of recurrence and multiple factors involved in its molecular pathogenesis. Anterior
ameloblastoma is a rare variant that makes up about 10% of all its varieties, presents unique difficulties
in diagnosis, especially while differentiating it from other lesions in anterior region. Its vivid range of clinical
manifestation further puzzles in clinical diagnosis and can complicate planning of surgeries and thereby affect
the prognosis. We highlight one such case which mimics a residual cyst and thus mandates importance of thorough
diagnostics.
Case Report: This case report presents a rare occurrence of ameloblastoma in anterior mandible of a 60-yearold
patient who reported a swelling in the lower anterior region, which had been present for 5-6 months and
was initially noticed two years ago when it was smaller. This case report aims to highlight the unusual location
of the tumor, the clinical and radiological findings and the treatment modalities employed.
Conclusion: Promptness in diagnosis and relevant treatment of ameloblastoma is crucial due to its malignant
potential and recurrence rate. It underscores the importance of early detection and intervention, which can
significantly improve patient prognosis and reduce the risk of recurrence. Further, it emphasizes the need for
regular follow-ups to monitor any risk of recurrence or any other complications.