*4.2.1 Radical surgical approach*

Still a gold standard in ameloblastoma treatment, radical surgery is favored for all aggressive types of primary and recurrent ameloblastomas [3]. Radical resection implies *en bloc* tumor removal with a wide bone margin followed by immediate or delayed bony reconstruction of the defect with tissue grafts and/or prosthetic appliance [28]. In the mandible, resection can be performed through segmental osteotomy which involves the loss of continuity and requires reconstruction or can be marginal preserving the lower border with consequential maintenance of bone continuity [29]. Even though radical treatment is favored according to the contemporary literature [5, 30–32], several factors such as age, clinical presentation and ameloblastoma type should be considered when determining the course of therapy. Surgery can impair facial growth and development of pediatric patients, thus a conservative approach may be preferred [5]. Patient wishes regarding surgically induced facial deformations
