{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T19:43:28Z","timestamp":1783626208326,"version":"3.55.0"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T00:00:00Z","timestamp":1728432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Unicystic ameloblastoma (UA) is frequently associated with an impacted tooth with a challenging diagnosis and decision making. The aim of this article is to emphasize a novel approach of treatment with tooth reimplantation after conservative treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>A 7-year-old boy consulting with a chief complaint of swelling in the upper left front region. Intraoral examination revealed a non-tender swelling extending from 61 to 63. Radiographic examination showed a well-defined, unilocular radiolucency associated to tooth 21. Initial diagnosis was a dentigerous cyst and was treated conservatively (enucleation and tooth reimplantation).<\/jats:p>\n                    <jats:p>Final diagnosis was an UA, intraluminal form. After 6 years, no signs of recurrence were observed, and teeth 21 and 22 showed healthy root development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>UA is the least encountered variant of all types of ameloblastomas and more commonly affects the mandible's posterior region than the maxilla. Differential diagnosis in the presence of radiolucent images is a dilemma, especially when a tooth is impacted in association with the lesion. Decision-making can be challenging, particularly regarding the appropriateness of initial radical extensive surgery in children. We opted to a conservative treatment. This procedure resulted in fewer complications and preserved the permanent teeth and as much bone as possible to avoid aesthetic deformities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case report focuses on a novel approach to the treatment of UA. This case report confirms that for UA conservative treatment is possible, with preservation of tooth and alveolar bone, particularly in young patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110437","type":"journal-article","created":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T13:56:08Z","timestamp":1728654968000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Unicystic ameloblastoma: Diagnostic challenges and uncommon treatment strategy: Case report"],"prefix":"10.1097","volume":"124","author":[{"given":"Hend","family":"Ouertani","sequence":"first","affiliation":[{"name":"University of Monastir, Faculty of Dental Medicine of Monastir, 5000, Military Hospital of Tunis, Department of Oral Surgery, Research unity UR17DN04, 1008 Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ines","family":"Azouzi","sequence":"additional","affiliation":[{"name":"University of Monastir, Faculty of Dental Medicine of Monastir, 5000, Military Hospital of Tunis, Department of Oral Surgery, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faten","family":"Gargouri","sequence":"additional","affiliation":[{"name":"University of Tunis Manar, Faculty of Medicine of Tunis, 1008, Military Hospital of Tunis, Department of Pathology, Mont-Fleury, 1008 Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karima","family":"Tlili","sequence":"additional","affiliation":[{"name":"University of Tunis Manar, Faculty of Medicine of Tunis, 1008, Military Hospital of Tunis, Department of Pathology, Mont-Fleury, 1008 Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Najeh","family":"Khrifi","sequence":"additional","affiliation":[{"name":"Dental Office, Bardo Center, 2000 Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Bassem","family":"Khattech","sequence":"additional","affiliation":[{"name":"University of Monastir, Faculty of Dental Medicine of Monastir, 5000, Military Hospital of Tunis, Department of Oral Surgery, Research unity UR17DN04, 1008 Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"2","key":"R1-117-20260421","first-page":"168","article-title":"The World Health Organization classification of odontogenic lesions: a summary of the changes of the 2022 (5th) edition","volume":"38","author":"Soluk-Tekkesin,","year":"2022","journal-title":"Turk Patoloji Derg."},{"issue":"3","key":"R2-117-20260421","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1007\/s12663-016-0987-2","article-title":"Conservative management of unicystic ameloblastoma in young patients: a prospective single-center trial and review of literature","volume":"16","author":"Meshram,","year":"2017","journal-title":"J. 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Engl."},{"issue":"4","key":"R6-117-20260421","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1016\/j.ijom.2014.01.003","article-title":"Unicystic ameloblastoma in children: systematic review of clinicopathological features and treatment outcomes","volume":"43","author":"Seintou,","year":"2014","journal-title":"Int. J. Oral Maxillofac. Surg."},{"issue":"1","key":"R7-117-20260421","doi-asserted-by":"crossref","DOI":"10.1002\/ccr3.5241","article-title":"Unicystic ameloblastoma in a 9-year-old child treated with a combination of conservative surgery and orthodontic treatment: a case report","volume":"10","author":"Guo,","year":"2022","journal-title":"Clin. Case Reports"},{"issue":"1","key":"R8-117-20260421","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1186\/s13104-016-2260-7","article-title":"Maxillary unicystic ameloblastoma: a case report","volume":"9","author":"Agani,","year":"2016","journal-title":"BMC. Res. 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