Jaw‐Preserving Management of Paediatric Mandibular Ameloblastic Fibroma: A Case Report

ABSTRACT Background Ameloblastic fibroma (AF) is a rare benign mixed odontogenic tumour that occurs mainly in children and adolescents. It grows slowly but may recur, and malignant transformation into ameloblastic fibrosarcoma has been reported in recurrent or long‐standing cases. Methods A 13‐year‐old boy presented with a painless swelling of the left mandible. Imaging showed a well‐defined unilocular radiolucency with displacement of adjacent teeth. Histopathological examination confirmed AF. Treatment consisted of enucleation and curettage, followed by application of modified Carnoy's solution to the bony cavity. Open packing of the cavity with ribbon gauze impregnated with bismuth iodoform paraffin paste (BIPP) was changed at regular intervals. A staged dredging protocol was carried out during follow‐up to support bone regeneration and allow repeated inspection of the cavity. Results Clinical and radiographic follow‐up at 36 months demonstrated substantial bone regeneration. Mandibular function was normal, and there was no evidence of recurrence. Conclusion In this patient, conservative surgery combined with chemical cauterisation and staged dredging achieved disease control without compromising mandibular growth.