Three-dimensional individual planning for treatment of ameloblastoma of the mandible – clinical study

Abstract

Ameloblastoma is the odontogenic tumour of the maxillary bones accounts for approximately 1% of all dental tumours. It is clinically considered to be a lesion with local aggressiveness and a high level of tendencies to relapse, destruction of surrounding tissues, and even malignancy and metastases. The treatment of choice is currently the resection of bone en bloc with a 1–2 cm margin of healthy tissue along with its simultaneous reconstruction. Newly introduced technologies are beginning to play an increasingly important role in modern head and neck surgery. Virtual surgical planning using 3D models (CAD) allows individualised (CAM) custom-made guides and titanium prosthesis, which constitutes the individualisation of treatment. The case report presents a patient treated due to ameloblastoma of the body of the mandible, with deep circumflex iliac artery flap (DCIAF) reconstruction using elements of individual 3D planning.