A rare dental tumor, approximately the size of a hazelnut, was recently removed from a 14-year-old Arab teenager, restoring his ability to smile once more. Salem Salah's journey began four years ago when he first noticed persistent swelling and discomfort in his lower jaw. As the swelling intensified, his family sought specialized medical attention. The tumor, identified as an ameloblastic fibroma, measured 21x21x25 millimeters, roughly the size of a hazelnut. "This rare tumor, which arises from the teeth and surrounding structures, typically affects young individuals and is often linked to unerupted teeth," explained Prof. Farzin Sarkarat, a consultant oral and maxillofacial surgeon at Medcare Dentofaces. "If untreated, the tumor can expand, potentially harming the surrounding bone and nerves. In Salem's case, it could have resulted in severe complications such as facial deformity or loss of sensation in the lower jaw, necessitating more extensive surgery for effective treatment," added Prof. Sarkarat, who led the three-hour surgical procedure at Medcare Hospital in Al Safa.

During the initial assessment, significant swelling in Salem's lower jaw was detected, displacing his right third molar. "The tumor was perilously close to the inferior alveolar nerve, which governs sensation in the lower teeth, chin, and lip. This proximity heightened the risk of nerve damage, making the surgery particularly demanding," noted Prof. Sarkarat. Surgeons successfully excised the tumor and the impacted wisdom tooth while meticulously preserving and repositioning the nerve. To ensure structural integrity and functionality, a bone plate was implanted to reconstruct Salem's jaw.

"Despite the challenges, we managed to successfully remove the tumor and maintain Salem’s nerve function. Salem is anticipated to make a full recovery with no loss of sensation or function in his jaw," remarked Prof. Sarkarat. Salem's recovery has been progressing well, according to his sister, Shaikha. "For the first time in years, my brother is pain-free, and we are overjoyed. He is now recuperating and making steady progress. His pain has notably decreased, and he is expected to fully heal in the coming months, with regular follow-ups to ensure complete recovery and functionality of his jaw," she added.

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