Effectiveness of the Conservative Surgical Management of the Ameloblastomas: A Cross-Sectional Study
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 ostecto...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-10-01
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| Series: | Frontiers in Oral Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/froh.2021.737424/full |
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| author | André Caroli Rocha Felipe Paiva Fonseca Alan Roger Santos-Silva Silvia Vanessa Lourenço Marcelo Minharro Ceccheti Jayro Guimarães Júnior |
| author_facet | André Caroli Rocha Felipe Paiva Fonseca Alan Roger Santos-Silva Silvia Vanessa Lourenço Marcelo Minharro Ceccheti Jayro Guimarães Júnior |
| author_sort | André Caroli Rocha |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-17T23:16:55Z |
| format | Article |
| id | doaj.art-8888022412a849c1b72a9ad7881bbb2b |
| institution | Directory Open Access Journal |
| issn | 2673-4842 |
| language | English |
| last_indexed | 2024-12-17T23:16:55Z |
| publishDate | 2021-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oral Health |
| spelling | doaj.art-8888022412a849c1b72a9ad7881bbb2b2022-12-21T21:29:00ZengFrontiers Media S.A.Frontiers in Oral Health2673-48422021-10-01210.3389/froh.2021.737424737424Effectiveness of the Conservative Surgical Management of the Ameloblastomas: A Cross-Sectional StudyAndré Caroli Rocha0Felipe Paiva Fonseca1Alan Roger Santos-Silva2Silvia Vanessa Lourenço3Marcelo Minharro Ceccheti4Jayro Guimarães Júnior5Oral and Maxillofacial Surgery and Traumatology Service, Medical School, Clinical Hospital, University of São Paulo (FMUSP), São Paulo, BrazilOral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Campinas, BrazilOral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Campinas, BrazilGeneral Pathology Department, Dental School, University of São Paulo, São Paulo, BrazilOral and Maxillofacial Surgery and Traumatology Service, Medical School, Clinical Hospital, University of São Paulo (FMUSP), São Paulo, BrazilOral and Maxillofacial Surgery and Traumatology Service, Medical School, Clinical Hospital, University of São Paulo (FMUSP), São Paulo, BrazilAmeloblastoma 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.https://www.frontiersin.org/articles/10.3389/froh.2021.737424/fullameloblastomaodontogenic tumorstreatmentcurettagecryotherapy |
| spellingShingle | André Caroli Rocha Felipe Paiva Fonseca Alan Roger Santos-Silva Silvia Vanessa Lourenço Marcelo Minharro Ceccheti Jayro Guimarães Júnior Effectiveness of the Conservative Surgical Management of the Ameloblastomas: A Cross-Sectional Study Frontiers in Oral Health ameloblastoma odontogenic tumors treatment curettage cryotherapy |
| title | Effectiveness of the Conservative Surgical Management of the Ameloblastomas: A Cross-Sectional Study |
| title_full | Effectiveness of the Conservative Surgical Management of the Ameloblastomas: A Cross-Sectional Study |
| title_fullStr | Effectiveness of the Conservative Surgical Management of the Ameloblastomas: A Cross-Sectional Study |
| title_full_unstemmed | Effectiveness of the Conservative Surgical Management of the Ameloblastomas: A Cross-Sectional Study |
| title_short | Effectiveness of the Conservative Surgical Management of the Ameloblastomas: A Cross-Sectional Study |
| title_sort | effectiveness of the conservative surgical management of the ameloblastomas a cross sectional study |
| topic | ameloblastoma odontogenic tumors treatment curettage cryotherapy |
| url | https://www.frontiersin.org/articles/10.3389/froh.2021.737424/full |
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