Effectiveness of contemporary surgical approaches and prosthetic rehabilitation in the management of ameloblastoma: a narrative review of functional and aesthetic outcomes
DOI:
https://doi.org/10.56183/iberojhr.v4i2.688Palavras-chave:
Ameloblastoma. Bone Reconstruction. Dental Prosthesis. Reconstructive Surgical Procedures. Functional Recovery.Resumo
Ameloblastoma, a benign yet aggressive odontogenic tumour poses significant challenges in management due to its potential for recurrence and impact on oral functionality and aesthetics. Effective treatment necessitates a combination of surgical resection, bone reconstruction, and prosthetic rehabilitation. This review aims to evaluate contemporary surgical approaches and prosthetic rehabilitation strategies for managing ameloblastoma, focusing on functional and aesthetic outcomes to enhance patient recovery and quality of life. A narrative review was conducted using scholarly databases, incorporating articles published in English from 2013 to 2023. Studies were selected based on their focus on surgical approaches and prosthetic rehabilitation outcomes. A systematic framework categorized surgical techniques (radical, conservative) and prosthetic methods (fixed, removable, or implant-supported). Radical segmental resection with sufficient safety margins emerged as the preferred surgical approach to minimize recurrence. Immediate reconstruction using autogenous bone grafts, particularly vascularized fibula free-flaps, demonstrated high success rates and improved quality of life. Implant-supported prosthetics showed enhanced functional and aesthetic recovery, with immediate implants yielding better survival rates. Technological advancements such as CAD/CAM and 3D printing improved surgical precision and patient outcomes. Contemporary surgical and prosthetic advancements significantly enhance the management of ameloblastoma. Integrating innovative techniques with long-term follow-up ensures optimal functional and aesthetic results, contributing to improved patient satisfaction and recovery.
Referências
Abbate, V., Togo, G., Committeri, U., Zarone, F., Sammartino, G., Valletta, A., Elefante, A., Califano, L., & Dell’Aversana Orabona, G. (2023). Full digital workflow for Mandibular Ameloblastoma management: showcase for technical description. J Clin Med, 12(17), 5526. https://doi.org/10.3390/jcm12175526
Adebayo, E. T., Fomete, B., & Adekeye, E. O. (2011). Delayed soft tissue recurrence after treatment of ameloblastoma in a black African: Case report and review of the literature. Journal of Cranio-Maxillofacial Surgery, 39(8), 615–618. https://doi.org/10.1016/J.JCMS.2010.05.010
Al-Sawai, A. A., & Labib, H. (2016). The success of immediate loading implants compared to conventionally-loaded implants: a literature review. J Investig Clin Dent, 7(3), 217–224. https://doi.org/10.1111/jicd.12152
Alberga, J. M., Vosselman, N., Korfage, A., Delli, K., Witjes, M. J. H., Raghoebar, G. M., & Vissink, A. (2021). What is the optimal timing for implant placement in oral cancer patients? A scoping literature review. Oral Dis, 27(1), 94–110. https://doi.org/10.1111/odi.13312
Asif Shah, S., Ullah, I., Bilal, M., Hamayun Shinwari, M., Ahmad, A., & Ullah, E. (2019). Mandibular reconstruction with free fibula flap: experience at Hayatabad medical complex, Peshawar. J Islamabad Med Dent Coll, 8(4), 198–202. https://doi.org/10.35787/jimdc.v8i4.374
Bianchi, B., Ferri, A., Ferrari, S., Leporati, M., Copelli, C., Ferri, T., & Sesenna, E. (2013). Mandibular resection and reconstruction in the management of extensive ameloblastoma. Journal of Oral and Maxillofacial Surgery, 71(3), 528–537. https://doi.org/10.1016/J.JOMS.2012.07.004
Camolesi, G. C. V., Veronese, H. R. M., Celestino, M. A., Blum, D. F. C., Márquez-Zambrano, J. A., Carmona-Pérez, F. A., Jara-Venegas, T. A., Pellizzon, A. C. A., & Bernaola-Paredes, W. E. (2023). Survival of osseointegrated implants in head and neck cancer patients submitted to multimodal treatment: a systematic review and meta-analysis. Support Care Cancer, 31(12), 641. https://doi.org/10.1007/s00520-023-08088-5
Carosi, P., Lorenzi, C., Di Gianfilippo, R., Papi, P., Laureti, A., Wang, H. L., & Arcuri, C. (2023). Delayed placement of immediately Provisionalized self-tapping implants: a non-randomized controlled clinical trial with 1 year of follow-up. J Clin Med, 12(2), 489. https://doi.org/10.3390/jcm12020489
Chen, J., Cai, M., Yang, J., Aldhohrah, T., & Wang, Y. (2019). Immediate versus early or conventional loading dental implants with fixed prostheses: a systematic review and meta-analysis of randomized controlled clinical trials. J Prosthet Dent, 122(6), 516–536. https://doi.org/10.1016/j.prosdent.2019.05.013
Chukwuneke, F. N., Ajuzieogu, O., Chukwuka, A., Okwuowulu, T., Nnodi, P., & Oji, C. (2010). Surgical challenges in the treatment of advanced cases of ameloblastoma in the developing world: The authors’ experience. International Journal of Oral and Maxillofacial Surgery, 39(2), 150–155. https://doi.org/10.1016/J.IJOM.2009.11.023
Ettinger, K. S., Arce, K., Bunnell, A. M., & Nedrud, S. M. (2023). Mandibular reconstruction: when to graft, when to flap, and when to say no. Atlas Oral Maxillofac Surg Clin North Am, 31(2), 91–104. https://doi.org/10.1016/j.cxom.2023.03.002
Garrido-Martínez, P., Peña-Cardelles, J. F., Pozo-Kreilinger, J. J., Esparza-Gómez, G., Montesdeoca-García, N., de Cevallos, J. G. D., & Cebrián-Carretero, J. L. (2021). Jaw in a day: Osseointegration of the implants in the patient’s leg before reconstructive surgery of a maxilla with ameloblastoma. A 4-year follow-up case report. J Clin Exp Dent, 13(1), e81–e87. https://doi.org/10.4317/jced.57823
Hammarfjord, O., Roslund, J., Abrahamsson, P., Nilsson, P., Thor, A., Magnusson, M., Kjeller, G., Englesson-Sahlström, C., Strandkvist, T., Warfvinge, G., & Krüger-Weiner, C. (2013). Surgical treatment of recurring ameloblastoma, are there options? British Journal of Oral and Maxillofacial Surgery, 51(8), 762–766. https://doi.org/10.1016/J.BJOMS.2013.08.013
Hendra, F. N., Natsir Kalla, D. S., Van Cann, E. M., de Vet, H. C. W., Helder, M. N., & Forouzanfar, T. (2019). Radical vs conservative treatment of intraosseous ameloblastoma: systematic review and meta-analysis. Oral Dis, 25(7), 1683–1696. https://doi.org/10.1111/odi.13014
Hou, J. S., Chen, M., Pan, C. Bin, Wang, M., Wang, J. G., Zhang, B., Tao, Q., Wang, C., & Huang, H. Z. (2012). Application of CAD/CAM-assisted technique with surgical treatment in the reconstruction of the mandible. Journal of Cranio-Maxillofacial Surgery, 40(8). https://doi.org/10.1016/J.JCMS.2012.02.022
Illand, C., Destruhaut, F., Porporatti, A., Wulfman, C., Naveau, A., & Rignon-Bret, C. (2023). The implant survival rate in mandible reconstructed with free fibula flaps after Oral tumours a systematic review and Meta-analysis. Int J Oral Maxillofac Implants, 38(5), 976–985. https://doi.org/10.11607/jomi.10373
In ’T Veld, M., Schulten, E. A. J. M., & Leusink, F. K. J. (2021). Immediate dental implant placement and restoration in the edentulous mandible in head and neck cancer patients: a systematic review and meta-analysis. Curr Opin Otolaryngol Head Neck Surg, 29(2), 126–137. https://doi.org/10.1097/moo.0000000000000685
Janjua, O. S., Qureshi, S. M., Shaikh, M. S., Alnazzawi, A., Rodriguez-Lozano, F. J., Pecci-Lloret, M. P., & Zafar, M. S. (2022). Autogenous tooth bone grafts for repair and regeneration of maxillofacial defects: a narrative review. Int J Environ Res Public Health, 19(6), 3690. https://doi.org/10.3390/ijerph19063690
Kumar, B. P., Venkatesh, V., Kumar, K. A. J., Yadav, B. Y., & Mohan, S. R. (2016). Mandibular Reconstruction: Overview. J Maxillofac Oral Surg, 15(4), 425–441. https://doi.org/10.1007/s12663-015-0766-5
Lawal, H., Adebola, R., Arotiba, J., Amole, I., Efunkoya, A., Omeje, U., Amole, T., & Adeoye, J. (2016). Quality of life of patients surgically treated for ameloblastoma. Niger Med J, 57(2), 91–98. https://doi.org/10.4103/0300-1652.182069
Mahmoud, S. A. M., Amer, H. W., & Mohamed, S. I. (2018). Primary ameloblastic carcinoma: literature review with case series. Polish Journal of Pathology : Official Journal of the Polish Society of Pathologists, 69(3), 243–253. https://doi.org/10.5114/PJP.2018.79544
Mosaddad, S. A., Abdollahi Namanloo, R., Ghodsi, R., Salimi, Y., Taghva, M., & Naeimi Darestani, M. (2023). Oral rehabilitation with dental implants in patients with systemic sclerosis: a systematic review. Immun Inflamm Dis, 11(3), e812. https://doi.org/10.1002/iid3.812
Neagu, D., Escuder-de la Torre, O., Vázquez-Mahía, I., Carral-Roura, N., Rubín-Roger, G., Penedo-Vázquez, ángel, Luaces-Rey, R., & López-Cedrún-Cembranos, J. L. (2019). Surgical management of ameloblastoma. Review of literature. Journal of Clinical and Experimental Dentistry, 11(1), e70. https://doi.org/10.4317/JCED.55452
Niakan, S., & Yaghoobi, N. (2021). Oral reconstruction with hybrid implant-supported fixed prostheses in cases of mandibular defect using two methods along with 3 years of follow-up: a case report. Clin Case Rep, 9(9), e04854. https://doi.org/10.1002/ccr3.4854
Ooi, A., Feng, J., Tan, H. K., & Ong, Y. S. (2014). Primary treatment of mandibular ameloblastoma with segmental resection and free fibula reconstruction: Achieving satisfactory outcomes with low implant-prosthetic rehabilitation uptake. Journal of Plastic, Reconstructive and Aesthetic Surgery, 67(4), 498–505. https://doi.org/10.1016/J.BJPS.2014.01.005
Palanisamy, J. C., & Jenzer, A. C. (2023). Ameloblastoma. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK545165/
Paranque, A. R., Steve, M., Vazquez, L., Bolleyn, A., Roze-Pellat, M. A., & Ehrenfest, D. M. D. (2011). Esthetic and functional reconstruction of the posttumoral interrupted mandible with double-barrel fibular free flap graft: rationale for a microsurgical and prosthodontic approach. J Oral Implantol, 37(5), 571–577. https://doi.org/10.1563/aaid-joi-d-10-00060
Pogrel, M. A., & Montes, D. M. (2009). Is there a role for enucleation in the management of ameloblastoma? International Journal of Oral and Maxillofacial Surgery, 38(8), 807–812. https://doi.org/10.1016/J.IJOM.2009.02.018
Qayyum, Z., Khan, Z. A., Maqsood, A., Prabhu, N., Saad Alqarni, M., Bader, A. K., Issrani, R., Abbasi, M. S., Ahmed, N., Sghaireen, M. G., & Heboyan, A. (2023). Outcome assessment after reconstruction of tumour-related Mandibular defects using free vascularized fibular flap-a clinical study. Healthcare (Basel), 11(2), 193. https://doi.org/10.3390/healthcare11020193
Rathi, S., Chaturvedi, S., Abdullah, S., Rajput, G., Alqahtani, N. M., Chaturvedi, M., Gurumurthy, V., Saini, R., Bavabeedu, S. S., & Minervini, G. (2023). Clinical trial to assess physiology and activity of masticatory muscles of complete denture wearer following vitamin D intervention. Medicina (Kaunas), 59(2), 410. https://doi.org/10.3390/medicina59020410
Sham, E., Leong, J., Maher, R., Schenberg, M., Leung, M., & Mansour, A. K. (2009). Mandibular ameloblastoma: clinical experience and literature review. ANZ Journal of Surgery, 79(10), 739–744. https://doi.org/10.1111/J.1445-2197.2009.05061.X
Sharma, A., Shaikh, A. M., Deshmukh, S. V., & Dabholkar, J. P. (2012). Radical Management of Giant Ameloblastomas: A Case Series. Indian Journal of Otolaryngology and Head and Neck Surgery, 64(4), 399–401. https://doi.org/10.1007/S12070-011-0391-7
Troiano, G., Dioguardi, M., Cocco, A., Laino, L., Cervino, G., Cicciu, M., Ciavarella, D., & Lo Muzio, L. (2017). Conservative vs radical approach for the treatment of solid/multicystic Ameloblastoma: a systematic review and Meta-analysis of the last decade. Oral Health Prev Dent, 15(5), 421–426. https://doi.org/10.3290/j.ohpd.a38732
Tsigarida, A., & Chochlidakis, K. (2021). A comparison between fixed and removable Mandibular implant-supported full-arch prostheses: an overview of systematic reviews. Int J Prosthodont, 34, s85–s92. https://doi.org/10.11607/ijp.6911
Wüster, J., Sachse, C., Sachse, C., Rendenbach, C., Wagendorf, O., Vach, K., Preissner, S., Heiland, M., Nelson, K., & Nahles, S. (2023). Vestibuloplasty and its impact on the long-term survival and success of dental implants in irradiated and non-irradiated patients after head and neck tumour theraptherapytrospective study. Clin Oral Investig, 27(8), 4695–4703. https://doi.org/10.1007/s00784-023-05096-x
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2024 Daniela Beatriz Ganchozo Peralta, Christopher Andrés Guanoluisa Pérez, Diana Karina Arellano Garcia, Jordy Calixto Arcentales Quijije, Wilmer Israel Morocho Sánchez
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
