Journal
PHOTODIAGNOSIS AND PHOTODYNAMIC THERAPY
Volume 34, Issue -, Pages -Publisher
ELSEVIER
DOI: 10.1016/j.pdpdt.2020.102167
Keywords
Peripheral ameloblastoma; Gingival lesion; Infrared thermography-assisted-surgery; Surgical margins
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Peripheral ameloblastoma (PA) is a rare benign tumor in the gingiva, with a high recurrence rate if not surgically excised completely. Medical infrared thermography (MIT) can help optimize surgical margins and minimize the risk of recurrence, as demonstrated in this case of a 71-year-old man with no local recurrence after two years of follow-up.
Peripheral ameloblastoma (PA) is a rare benign peripheral odontogenic tumor arising in the gingiva and in the overlying mucosa of tooth-bearing areas of the jaws. Recent data suggestthat the recurrence rate is directly related to inadequate surgical excision. This case of a 71-year-old man reports a poorly delineated mass effecting the gum of the left mandibular canine-premolars area histologically corresponded to PA. In complement to clinical visual examination of such a poorly delineated, non-exophytic and non-dyschromic inflammatory lesion, medical infrared thermography (MIT) - a non-invasive, non-ionizing and real-time imaging technique - was used to optimize the soft tissue margins, and a marginal bone resection was performed. MIT has also been found to be a useful tool in monitoring the absence of diseased tissue crossing the excisional margins at the end of the operation to minimize the risk of recurrence. After two years of follow-up, no local recurrence was found.
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