Banca de DEFESA: DANIELLE CLARISSE BARBOSA COSTA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : DANIELLE CLARISSE BARBOSA COSTA
DATA : 07/11/2018
HORA: 14:00
LOCAL: Departamento de Odontologia UFRN
TÍTULO:

STUDY OF OCCURRENCE OF RECURRENCE AFTER ENUCLEARATION, FOLLOWED BY PERIPHERAL OSTECTOMY AND CARNOY SOLUTION IN THE TREATMENT OF AGGRESSIVE BENIGN ODONTOGENIC LESIONS: PRELIMINARY RESULTS

PALAVRAS-CHAVES:

Odontogenic Tumors. Conservative Treatment. Recurrence.

PÁGINAS: 58
GRANDE ÁREA: Ciências da Saúde
ÁREA: Odontologia
SUBÁREA: Cirurgia Buco-Maxilo-Facial
RESUMO:

The purpose of this study was to verify the relapse rate and associated clinical, radiographic and surgical factors after the protocol of enucleation followed by peripheral ostectomy and Carnoy's solution as treatment of aggressive odontogenic lesions. The retrospective cross - sectional study was composed of thirty patients submitted to the protocol from 2008 to 2018 who were contacted and submitted to clinical and radiographic exams in order to verify the presence of relapses. The study consisted of two phases, represented by the data collection of the medical records (phase I) and return of the patient for clinical and radiographic evaluation (phase II). Descriptive and statistical analyzes were performed using the Stata / IC version 14.0 program (StataCorp, College Station, TX). The Mann-Whitney test, the Fisher's exact test and the Chi-square test, as well as the Kaplan Meier method and the Log-rank test were used to verify the possible prognostic factors for relapses, adopting p <0,05. The sample was composed of 22 patients with odontogenic keratocysts (73.3%), 3 odontogenic myxomas (10%) and 5 ameloblastomas (16.7%). Recurrence affected 7 patients (23.3%), all of which were in odontogenic keratocysts, with a minimum recurrence time of 12 months and a maximum of 34 months and a maximum follow-up of 9 years and 5 months. There was no statistical difference between the factors evaluated and the development of relapses, but patients who remained with adjacent teeth after the surgical procedure presented earlier recurrence. Kaplan-Meier curves showed a cumulative risk of more than 80% for recurrence after 29 months postoperatively and after 36 months of follow-up, only 37.50% of these patients would be free of relapses (p = 0.023), in addition this group were 5.5 times more likely to develop recurrences than patients who had their teeth extracted. The results showed that the protocol presented lower recurrences than what in the scientific literature when comparing marsupialization and enucleation/curettage alone, considering the same lesions, however, it presented inferior results when compared to similar therapies.

MEMBROS DA BANCA:
Presidente - 2379951 - ADRIANO ROCHA GERMANO
Interno - 2644142 - PATRICIA TEIXEIRA DE OLIVEIRA
Externo à Instituição - EDUARDO COSTA STUDART SOARES - UFC