Management of Mandibular Ameloblastoma: A Case Report From a Bahrain Government Hospital

Ameloblastoma is a locally aggressive yet benign odontogenic neoplasm. Its three main clinical variants - intraosseous, unicystic, and extraosseous - differ vastly in their biological behavior and recurrence rate. Here we present a case of intraosseous ameloblastoma in a 32-year-old male managed by wide en bloc excision. The mandible was reinforced with reconstruction plate to prevent pathological fracture, as the residual bone height was less than 1 cm. The patient has been on regular follow-up for one year with no clinical or radiological evidence of disease. This case demonstrates that marginal mandibulectomy with reconstruction plate reinforcement can obviate the need for microvascular free fibula graft reconstruction in select cases, reducing donor-site morbidity while maintaining oncologic safety.