Cystic ameloblastoma sorry! cheap viagra online viagra online cheap generic viagra buy viagra online buy cheap viagra cheap viagra cheap viagra viagra without a doctor prescription viagra online cheap generic viagra You are incorrect the radiographic findings of this case are consistent with cystic ameloblastoma. The age of the patient and the histology, however, are not. Ameloblastoma is defined as a benign neoplasm of tooth origin and as a benign but locally aggressive neoplasm with potential for invasion of the surrounding bone and soft tissue (7). It also has the potential for local extension to the brain, resulting in the death of the patient. However, not all ameloblastomas behave in that aggressive manner; ameloblastoma is a family of diseases with different biological behaviors. Therefore, it is necessary to distinguish between the various types before a definitive treatment is rendered (7-9). Three clinical types are described, beginning with the solid type (radiographically multilocular) which is treated with complete resection or en bloc (partial) resection depending on the size. The unicystic type includes three histologic types, one of which (the mural cystic ameloblastoma) behaves like the solid type, while the other two types (intraluminal and plexiform unicystic) are less aggressive and treated with curettage. Based on the radiographic presentation of unilocular radiolucency, extending into the ramus and being associated with the crown of an impacted tooth would be more consistent with a plexiform unicystic type of ameloblastoma (7-9). The unicystic type is much less aggressive than the solid type and accounts for about 10% of all ameloblastomas. It occurs in younger patients around 18 to 20 years of age with a strong predilection for the posterior mandible (9). Almost 90% of cases are associated with the crown of impacted third molar teeth with the radiographic presentation similar to a dentigerous cyst. This type of ameloblastoma can arise from a dentigerous cyst or de novo next to a cyst. The former is more commonly seen. In about 10% of cases, it can present as a unilocular radiolucency simulating a residual cyst, periapical, primordial cyst or odontogenic keratocyst (okc). Radiographically, it is unilocular and c.
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