Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/62096
Type: Artigo de Periódico
Title: Effectiveness of the conservative surgical management of the ameloblastomas: a cross-sectional study
Authors: André Caroli Rocha
Felipe Paiva Fonseca
Alan Roger dos Santos-Silva
Silvia Vanessa Lourenço
Maria Cristina Zindel Deboni
Jayro Guimarães Júnior
Abstract: Ameloblastoma is a benign, but locally aggressive odontogenic neoplasm, whose appropriate therapeutic management remains highly debatable. The aim of this study was to evaluate the reliability and effectiveness of the two conservative surgical therapeutic protocols (curettage with peripheral ostectomy only and curettage plus cryotherapy) for the management of ameloblastomas. About 53 cases of the ameloblastomas treated in 9 years were retrospectively analyzed regarding their clinical, histopathologic, radiographic, and therapeutic data. The results and the postoperative complications related to both the therapeutic protocols were also statistically investigated. A slight female preponderance was seen (1.12:1.0) with a mean age of 27.1 years. The posterior mandible was the most affected site and dental involvement was frequently found. Multilocular lesions causing the alterations of the bone cortices were the most common radiographic findings. Recurrences were seen in 9.4% of the cases and although the patients submitted to curettage plus cryotherapy have shown an increased incidence of wound dehiscence, infection, and paresthesia, only bone sequestration proved to be significantly more frequent in this group compared to the patients treated by curettage with peripheral ostectomy only. The incidence of the recurrences following the conservative management is low and cryotherapy use as an adjuvant tool must be rationally considered.
Subject: Ameloblastoma
Cryotherapy
Curettage
Odontogenic tumors
Therapeutics
Radiography
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: FAO - DEPARTAMENTO DE CLÍNICA
Rights: Acesso Aberto
metadata.dc.identifier.doi: https://doi.org/10.3389%2Ffroh.2021.737424
URI: http://hdl.handle.net/1843/62096
Issue Date: 29-Oct-2021
metadata.dc.url.externa: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8757795/
metadata.dc.relation.ispartof: Frontiers in oral health
Appears in Collections:Artigo de Periódico



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