Effectiveness of the Conservative Surgical Management of the Ameloblastomas: A Cross-Sectional Study

Author:

Rocha André Caroli,Fonseca Felipe Paiva,Santos-Silva Alan Roger,Lourenço Silvia Vanessa,Ceccheti Marcelo Minharro,Júnior Jayro Guimarães

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.

Publisher

Frontiers Media SA

Reference23 articles.

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. A Retrospective Analysis of 129 Ameloblastoma Cases: Clinical and Demographical Trends from a Single Institution;Journal of Racial and Ethnic Health Disparities;2024-04-12

2. Ameloblastoma: A hostile lesion of mandible: A challenging case report;Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology;2022-12-15

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