Tratamento conservador de ameloblastoma unicistico na mandíbula: relato de caso clínico

Abstract

INTRODUCTION: Ameloblastoma is a benign odontogenic tumor, which can be classified as solid or multicystic, unicystic or peripheral. Clinically when it is seen as an asymptomatic swelling or a large lesion. OBJECTIVE: To report a clinical case of a conservative treatment of unicystic ameloblastoma in the mandible. METHODOLOGY: The present study is a clinical case report carried out in a female patient, 36 years old, smoker, sought the Diagnostic Clinic III referred with the presence of painless edema in the left jaw, with evolution of two years, associated with difficulty moving the mouth and displacement of the dental arch. The patient underwent a conservative strategy in which enucleation and curettage of the lesion were performed, followed by taping with gases soaked in Diclofenac Diethylammonium Gel 11.6mg/g and periodic exchanges. Currently, 2 weeks after the taping surgery, the patient is being followed up for clinical and radiographic monitoring of the evolution of the lesion. RESULTS: The result showed that conservative treatment resulted in less severe function and esthetic impairment for the patient. The surgical treatment protocol initially comprised clinical, radiological and histopathological features, followed by enucleation and curettage of the lesion preceded by taping with gases soaked with drugs. FINAL CONSIDERATIONS: In view of the study presented, it was demonstrated that the best type of treatment for unicystic ameloblastoma is conservative surgery, such as enucleation and/or curettage of the lesion. This type of tumor provides a better prognosis with a lower incidence of recurrence. It is important to carry out planning based on the patient's comorbidities, the size and location of the tumor, the techniques available for reconstruction and the surgeon's experience.