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Acanthomatous Ameloblastoma (view source)
Revision as of 09:20, 18 August 2009
, 09:20, 18 August 2009no edit summary
==Description==
==Description==
This is a benign but locally invasive odontogenic tumour. Acanthomatous ameloblastomas have also been known as acanthomatous epulis, peripheral ameloblastomas, basal cell carcinomas and adamantinomas.
This is a benign but locally invasive odontogenic tumour that appears in the gingiva, often surrounding and displacing the adjacent teeth. The lesions have a raised and cauliflower appearance and are slow growing. Eventually the lesions can become very large and involve the jaw bone. Acanthomatous ameloblastomas have also been known as acanthomatous epulis, peripheral ameloblastomas, basal cell carcinomas and adamantinomas.
==Diagnosis==
==Diagnosis==
===Clinical Signs===
===Clinical Signs===
*halitosis
*halitosis
*dysphagia
*oral bleeding
*bleeding
*dental disruption or loss
*growth protruding from the mouth
*facial or mandibular deformity
*excessive salivation
*growth protruding from the mouth
*dysphagia occurs rarely
===Diagnostic Imaging===
===Diagnostic Imaging===
Radiography may show a soft tissue opacity in the area of the gingiva with lytic invasion of the underlying alveolar bone
===Biopsy===
===Biopsy===
Required for a definitive diagnosis
*Incisional Biopsy - best.
*Cytological or grab procedures - difficult to obtain a representative sample.
==Treatment==
==Treatment==
==Prognosis==
==Prognosis==