Surgical Treatment of Maxillary Solid Ameloblastoma by Weber-Fergusson Incision and Immediate Prosthetic Rehabilitation
Abstract
Ameloblastomas are benign odontogenic neoplasias of epithelial origin, locally invasive and mainly affecting the posterior mandibular region. They have the capacity to infiltrate into the medullary spaces of the bone without showing any radiographic or macroscopic indications, thus leading to high recurrence rates. Their treatment has been extensively discussed and is varied, ranging from more conservative techniques such as enucleation through to extensive surgical resections associated with facial mutilations. The use of an Immediate Prosthesis for Large Maxillary Losses diminishes cicatricial retraction and reduces facial deformity, making it easier to fabricate the permanent prosthesis. Large exposures of tissue have historically been obtained by means of an incision of the Weber-Fergusson type, a technique that leads to practically no scar development. The aim of this paper is to relate the clinical case of a patient with a solid ameloblastoma on the right side of the maxilla, who was submitted to removal of the tumor through the Weber–Fergusson incision and rehabilitation with an immediate prosthesis. When 24 hours had elapsed after performing the procedure, the patient was able to feed himself by mouth. Recovery was extremely rapid and the patient has responded positively to the treatment.
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