Mandibular Osteoblastoma: A Report of Two Cases Exploring the Use of Computer-Assisted Surgical Planning

Osteoblastomas are benign bone tumors that may arise in the mandible.Because they share clinical and histologic features with other bone-forming lesions, diagnosis typically requires radiographic evaluation and biopsy.Treatment involves complete excision with adequate margins, often followed by reconstruction to restore local form and function.Advances in cone-beam CT (CBCT) and virtual surgical planning (VSP) now provide enhanced 3D visualization, facilitating accurate resection planning, fabrication of custom surgical guides, and precise reconstruction.These technologies are particularly valuable in complex mandibular cases in which preservation of occlusion and symmetry is critical.This study was conducted to determine the effectiveness of a computer-assisted approach using CBCT scans and surgical guides to plan the appropriate resection of mandibular osteoblastomas.This case report aims to present diagnostic methods and surgical treatment of mandibular osteoblastoma and highlight the clinical and histopathological features that aid in its identification.Two cases were thoroughly reviewed, with biopsy and histopathological examination performed by oral and maxillofacial pathologists.In addition, computerassisted planning using a surgical guide was implemented to determine its effect on the surgical approach.The use of advanced imaging techniques and VSP has proven invaluable in accurately assessing tumor extent and planning precise surgical excision and reconstruction.The combination of computer-assisted planning with appropriate surgical biopsy and histopathological examination has allowed for meticulous preoperative visualization and accurate planning, leading to a higher rate of surgical success and a reduced risk of recurrence.Long-term follow-up is essential to monitor for recurrence and ensure the overall health and function of the affected area.The cases presented demonstrate the efficacy of modern surgical techniques and highlight the importance of multidisciplinary collaboration in the treatment of osteoblastomas.