Conservative treatment of an aggressive odontogenic tumor: a case report

An ameloblastoma is a polymorphic, benign, locally invasive tumor made up of odontogenic epithelium, clinically characterized by slow, progressive, painless growth. There are reports in the literature on the treatment of ameloblastomas with aggressive mural invasion through resections, in order to minimize recurrence. However, different approaches may be used at the bone level, such as curettage combined with a chemical fixative (Carnoy's solution), cryotherapy, or thermal cauterization. The findings of this case report demonstrate that the use of Carnoy's solution following the enucleation of a unicysticameloblastoma with mural invasion may be a treatment alternative with a low rate of recurrence, as well as a reduced rate of postoperative complications, a reduction in costs, and preservation of both esthetics and function.