Rogério Pagnoncelli - Academia.edu (original) (raw)

Papers by Rogério Pagnoncelli

Research paper thumbnail of Does a learning curve exist for accuracy in three-dimensional planning for maxillary positioning in bimaxillary orthognathic surgery?

International Journal of Oral and Maxillofacial Surgery, Jun 1, 2020

The purpose of this study was to investigate the influence of time, and experience, on the accura... more The purpose of this study was to investigate the influence of time, and experience, on the accuracy of maxillary repositioning in bimaxillary orthognathic surgery performed using virtual surgical planning (VSP). Patients who had undergone bimaxillary orthognathic surgery were reviewed. Maxillary position on pre-and postoperative computed tomography scans was compared. The patients were divided into groups according to the year in which VSP was performed and surgery completed. Linear distances between upper jaw reference landmarks were measured in all three planes of space to determine accuracy between the preoperative VSP and the surgical outcome at various time points. One hundred subjects met the eligibility criteria for assessment and were allocated to groups:

Research paper thumbnail of Facial Nerve Palsy Associated With Orthognathic Surgery

Journal of Craniofacial Surgery, May 4, 2020

45% of patients did not come back for chemodenervation. Treatment cost can be a reason for the hi... more 45% of patients did not come back for chemodenervation. Treatment cost can be a reason for the high dropout rate (Fig. 1). Other treatment options for unilateral lower lip palsy include selective neurectomy of the healthy contralateral side. Another reconstructive option is reconstruction of the lower lip depressor activity with digastric muscle transfer. Patients with CULLP have high level of concern regarding their mouth symmetry during speech and smiling. Chemodenervation treatment resulted with higher patient satisfaction with speech in comparison to smiling. One possible reason can be the anatomy of the smile as explained by Rubin et al in 1974. 10 There are there 3 types of smile, namely ''Mona Lisa,'' canine and full denture smile. The only smile affected by lower lip palsy is the full denture smile, therefore it can be speculated patients that have the other smile patterns are not affected as much. Whereas unilateral lower lip palsy almost always causes serious asymmetry during speech, especially while pronouncing sounds that incorporate i and e. Although this study was carried out in CULLP patients only, results are also applicable to other DLI related asymmetries. Contralateral DLI chemodenervation is also a very valid option for patients with acquired unilateral lower lip palsy such as Bell palsy, iatrogenic marginal mandibular palsy. CONCLUSION Most CULLP patients are concerned regarding their asymmetric appearance while smiling or speaking. Chemodenervation of the contralateral DLI muscle reduces concern levels and has high patient satisfaction. Chemodenervation of the contralateral healthy DLI muscle is a valid, practical treatment option.

Research paper thumbnail of Issues in the planning and conduct of non-randomised studies in oral and maxillofacial surgery

Research paper thumbnail of Metastasis of Prostate Adenocarcinoma in the Mandible

Journal of Craniofacial Surgery, 2020

Objective: This article describes the case report of a prostate adenocarcinoma in the mandible. B... more Objective: This article describes the case report of a prostate adenocarcinoma in the mandible. Background: Prostate adenocarcinoma is a malignant tumor common in men from the fourth decade of life. The occurrence of oral metastatic lesions is rare. Case Report: A 78-year-old male patient was referred to the oral and maxillofacial surgery service of the Pontifical Catholic University of Rio Grande do Sul for complaints of painless volume increase in the mandible. The diagnosis through the association of clinical, radiographic, and histopathological examination with the patient's health history determined that the lesion was prostatic adenocarcinoma metastasis. Conclusion: Despite the rare occurrence of metastases in the oral region, the dental surgeon should be aware of the possibility for correct diagnostic conduction and, subsequently, the institution of treatment in the early stages of disease.

Research paper thumbnail of Cisto paradental inflamatório - relato de um caso clínico

Rev Odonto Cienc, Aug 1, 2001

Research paper thumbnail of O uso de fitas adesivas em síntese tecidual

Rev Odonto Cienc, Aug 1, 2000

Research paper thumbnail of Caracterização estrutural da COX-2 e análise do meloxicam como antinflamatório não esteróide preferencialmente seletivo

Rev Odonto Cienc, Apr 1, 2003

Research paper thumbnail of Assepsia e barreiras de proteçäo em cirurgia dento-alveolar

Research paper thumbnail of Estudo histológico e macroscópico de alterações provocadas por ligadura do ducto excretor principal da glândula submandibular esquerda do rato

Rev Odonto Cienc, Dec 1, 1997

Research paper thumbnail of Manejo pré-operatório do paciente para controle da dor

Research paper thumbnail of Reação alérgica ao Feldenedad: relato de um caso clínico

Rev Odonto Cienc, Aug 1, 2000

Research paper thumbnail of Uso de anestésicos de longa ação em exodontias de terceiros molares

Rev Odonto Cienc, Dec 1, 2003

Research paper thumbnail of Profilaxia da endocardite bacteriana em odontologia

Rev Odonto Cienc, Jun 1, 1996

Research paper thumbnail of Fraturas de côndilo mandibular: Alternativas cirúrgicas e não-cirúrgicas para o tratamento

Rev Odonto Cienc, Mar 1, 2002

Research paper thumbnail of Computed tomography imaging superimposition protocols to assess outcomes in orthognathic surgery: a systematic review with comprehensive recommendations

Dentomaxillofacial Radiology, Mar 1, 2022

Objectives:A systematic review was performed to analyze the current evidence on three-dimensional... more Objectives:A systematic review was performed to analyze the current evidence on three-dimensional (3D) computed tomography (CT) superimposition protocols used to assess dentomaxillofacial changes after orthognathic and orthofacial surgery. Accuracy, reproducibility, and efficiency were evaluated.Methods:The search was divided into Main Search (PubMed, EMBASE, Cochrane Library, LILACS, and SciELO), Grey Literature search (Google Scholar and Open Grey), and Manual search. Thirteen studies were included. Of these, 10 reported data on accuracy, 10 on reproducibility and five on efficiency. Seven proposed or evaluated methods of voxel-based superimposition, three focused on the surface-based technique, one compared surface- and voxel-based superimposition protocols, one used the maximum mutual information algorithm, and one described a landmark-based superimposition method. Cone-beam computed tomography (CBCT) was the most common imaging technique, being used in 10 studies.Results:The accuracy of most methods was high, showing mean differences smaller than voxels’ dimensions, ranging between 0.05 and 1.76 mm for translational accuracy, and 0.10–1.09° for rotational accuracy. The overall reproducibility was considered good as demonstrated by the small mean error (range: 0.01–0.26 mm) and high correlation coefficients (range: 0.53–1.00). Timing to complete virtual superimposition techniques ranged between a few seconds up to 40 min.Conclusions:Voxel-based superimposition protocols presented the highest accuracy and reproducibility. Moreover, superimposition protocols that used automated processes and involved only one software were the most efficient.

Research paper thumbnail of Effect of low-level laser therapy on repair of the bone compromised by radiotherapy

Lasers in Medical Science, Jun 10, 2014

Radiotherapy (RDT) is commonly used for cancer treatment, but high doses of ionizing radiation ca... more Radiotherapy (RDT) is commonly used for cancer treatment, but high doses of ionizing radiation can directly affect healthy tissues. Positive biological effects of low-level laser therapy (LLLT) on bone repair have been demonstrated; however, this effect on surgical defects of bone previously compromised by radiotherapy has not been evaluated. The aim of this study was to investigate the influence of LLLT (λ= 830 nm) in femur repair after ionizing radiation. Twenty Wistar rats were divided into four groups: control group (GC, n=5) creation of bone defects (BDs) only; laser group (GL), with BD and LLLT (n=5); radiotherapy group (GR), submitted to RDT and BD (n=5); and radiotherapy and laser group (GRL), submitted to RDT, BD, and LLLT (n=5). GL and GRL received punctual laser application (DE=210 J/cm 2 , P=50 mW, t=120 s, and beam diameter of 0.04 cm 2) immediately after surgery, with 48-h interval during 7 days. Animals were euthanized at 7 days after surgery, and bone sections were evaluated morphometrically with conventional microscopy. Bone repair was only observed in nonirradiated bone, with significant improvement in GL in comparison to GC. GR and GRL did not present any bone neoformation. The result demonstrated a positive local biostimulative effect of LLLT in normal bone. However, LLLT was not able to revert the bone metabolic damage due to ionizing radiation.

Research paper thumbnail of Causas, classificações e manejos da perfuração da membrana de Schneiderian durante o procedimento de elevação do seio maxilar

Research paper thumbnail of Clinical case- reconstruction in region of inflammatory cystic injury with the use of recombinant growth hormone (RhGh) with liofilized bovine bone (Bio-Oss)

International Journal of Oral and Maxillofacial Surgery, May 1, 2019

Background: Masticatory myofascial pain is a common disorder and Botulinum toxin intramuscular in... more Background: Masticatory myofascial pain is a common disorder and Botulinum toxin intramuscular injections are often used to treat symptoms. There is variable practice in the management of this condition. As far as we are aware no previous meta-analysis has considered this topic. Objectives: The aim of this study was to systematically evaluate published literature on the efficacy of Botulinum toxin for myofascial pain. Methods: A comprehensive electronic search was performed in using the following online sources including PubMed and Cochrane Databases. Search terms used were: "Botulinum Toxins" [Mesh] AND "Masticatory Muscles" [Mesh]) AND "Randomized Controlled Trial" [Publication Type]. Randomised clinical trials comparing Botulinum toxin injection with placebo for the treatment of myofascial pain were selected. We independently reviewed the papers, extracted relevant data and assessed study quality according to standardised criteria. Our principal outcome measure was facial pain intensity on a visual analogue scale assessed a minimum four-weeks post-treatment. Findings: Five RCTs were suitable for meta-analysis. A total of 113 patients underwent Botulinum toxin injections and 83 had placebo treatment. Meta-analysis revealed botulinum toxin injection was associated with significant improvement in local pain symptoms at 4 weeks when compared to placebo (weighted mean difference, −0.58; 95% CI, −0.88 to −0.29, z = 3.89, p = 0.0001). There was no significant heterogeneity across studies (X 2 = 0.92, df = 4; P = 0.91; I2 = 0%). Conclusion: Our meta-analyisis confirms a statistically significant benefit with Botulinum toxin injections in managing myofascial pain symptoms. Further studies would enable more detailed evaluation of functional outcomes following these treatments.

Research paper thumbnail of Células tronco e engenharia tecidual: revisão de literatura / Stem cells and tissue engineering: a literature review

Brazilian Journal of Health Review, Mar 23, 2022

Com avanço da ciência e tecnologia juntamente associada ao conhecimento do potencial regenerativo... more Com avanço da ciência e tecnologia juntamente associada ao conhecimento do potencial regenerativo de células tronco e seu uso na medicina regenerativa, esse trabalho tem como objetivo informar e esclarecer sobre o que é engenharia tecidual e onde podemos aplicar células tronco para pesquisas, assim como quais tipos de células possuem e sua caracterização. Esse trabalho é uma revisão de literatura. Palavras-chave: células tronco (stem cell), engenharia tecidual (tissue engineering).

Research paper thumbnail of Non-vascularized iliac crest bone graft for immediate reconstruction after marginal resection of multicystic ameloblastoma

International Journal of Oral and Maxillofacial Surgery, May 1, 2019

Background: Ameloblastoma is a rare benign odontogenic tumor with local aggressive behavior assoc... more Background: Ameloblastoma is a rare benign odontogenic tumor with local aggressive behavior associated with a high recurrence potential when improperly treated. It is classified into three types based on clinical, histological, and radiographic findings-unicystic, multicystic, and peripheral. The most appropriate treatment of ameloblastoma remains controversial, varying from conservative to radical approaches and should be chosen according to macroscopic and histological characteristics of each tumor. To solve esthetic and functional disabilities caused by radical approaches, several techniques for reconstruction of the orofacial region have been proposed, such as free bone grafts, vascularized bone grafts, particulate bone grafts, reconstruction plates, and osteogenic distraction, among others. Objectives: The aim of this study was to evaluate the effectiveness of a therapy based on marginal resection and immediate reconstruction with iliac crest bone graft to treat a multicystic ameloblastoma. Methods: This report describes a case of a 31-year-old female diagnosed with multicystic ameloblastoma in the posterior portion of the mandible who underwent a marginal resection and immediate reconstruction with iliac crest bone graft. After surgery, postoperative control with panoramic radiographs and CTs was performed. Findings: After one year, radiographic control confirmed complete integration of the bone graft. After three years of clinical and radiological follow-up, there was no evidence of recurrence. Conclusion: The proposed treatment was effective in the management of early diagnosed multicystic ameloblastoma, and a low morbidity surgery could be performed allowing immediate reconstruction and early prosthetic rehabilitation.

Research paper thumbnail of Does a learning curve exist for accuracy in three-dimensional planning for maxillary positioning in bimaxillary orthognathic surgery?

International Journal of Oral and Maxillofacial Surgery, Jun 1, 2020

The purpose of this study was to investigate the influence of time, and experience, on the accura... more The purpose of this study was to investigate the influence of time, and experience, on the accuracy of maxillary repositioning in bimaxillary orthognathic surgery performed using virtual surgical planning (VSP). Patients who had undergone bimaxillary orthognathic surgery were reviewed. Maxillary position on pre-and postoperative computed tomography scans was compared. The patients were divided into groups according to the year in which VSP was performed and surgery completed. Linear distances between upper jaw reference landmarks were measured in all three planes of space to determine accuracy between the preoperative VSP and the surgical outcome at various time points. One hundred subjects met the eligibility criteria for assessment and were allocated to groups:

Research paper thumbnail of Facial Nerve Palsy Associated With Orthognathic Surgery

Journal of Craniofacial Surgery, May 4, 2020

45% of patients did not come back for chemodenervation. Treatment cost can be a reason for the hi... more 45% of patients did not come back for chemodenervation. Treatment cost can be a reason for the high dropout rate (Fig. 1). Other treatment options for unilateral lower lip palsy include selective neurectomy of the healthy contralateral side. Another reconstructive option is reconstruction of the lower lip depressor activity with digastric muscle transfer. Patients with CULLP have high level of concern regarding their mouth symmetry during speech and smiling. Chemodenervation treatment resulted with higher patient satisfaction with speech in comparison to smiling. One possible reason can be the anatomy of the smile as explained by Rubin et al in 1974. 10 There are there 3 types of smile, namely ''Mona Lisa,'' canine and full denture smile. The only smile affected by lower lip palsy is the full denture smile, therefore it can be speculated patients that have the other smile patterns are not affected as much. Whereas unilateral lower lip palsy almost always causes serious asymmetry during speech, especially while pronouncing sounds that incorporate i and e. Although this study was carried out in CULLP patients only, results are also applicable to other DLI related asymmetries. Contralateral DLI chemodenervation is also a very valid option for patients with acquired unilateral lower lip palsy such as Bell palsy, iatrogenic marginal mandibular palsy. CONCLUSION Most CULLP patients are concerned regarding their asymmetric appearance while smiling or speaking. Chemodenervation of the contralateral DLI muscle reduces concern levels and has high patient satisfaction. Chemodenervation of the contralateral healthy DLI muscle is a valid, practical treatment option.

Research paper thumbnail of Issues in the planning and conduct of non-randomised studies in oral and maxillofacial surgery

Research paper thumbnail of Metastasis of Prostate Adenocarcinoma in the Mandible

Journal of Craniofacial Surgery, 2020

Objective: This article describes the case report of a prostate adenocarcinoma in the mandible. B... more Objective: This article describes the case report of a prostate adenocarcinoma in the mandible. Background: Prostate adenocarcinoma is a malignant tumor common in men from the fourth decade of life. The occurrence of oral metastatic lesions is rare. Case Report: A 78-year-old male patient was referred to the oral and maxillofacial surgery service of the Pontifical Catholic University of Rio Grande do Sul for complaints of painless volume increase in the mandible. The diagnosis through the association of clinical, radiographic, and histopathological examination with the patient's health history determined that the lesion was prostatic adenocarcinoma metastasis. Conclusion: Despite the rare occurrence of metastases in the oral region, the dental surgeon should be aware of the possibility for correct diagnostic conduction and, subsequently, the institution of treatment in the early stages of disease.

Research paper thumbnail of Cisto paradental inflamatório - relato de um caso clínico

Rev Odonto Cienc, Aug 1, 2001

Research paper thumbnail of O uso de fitas adesivas em síntese tecidual

Rev Odonto Cienc, Aug 1, 2000

Research paper thumbnail of Caracterização estrutural da COX-2 e análise do meloxicam como antinflamatório não esteróide preferencialmente seletivo

Rev Odonto Cienc, Apr 1, 2003

Research paper thumbnail of Assepsia e barreiras de proteçäo em cirurgia dento-alveolar

Research paper thumbnail of Estudo histológico e macroscópico de alterações provocadas por ligadura do ducto excretor principal da glândula submandibular esquerda do rato

Rev Odonto Cienc, Dec 1, 1997

Research paper thumbnail of Manejo pré-operatório do paciente para controle da dor

Research paper thumbnail of Reação alérgica ao Feldenedad: relato de um caso clínico

Rev Odonto Cienc, Aug 1, 2000

Research paper thumbnail of Uso de anestésicos de longa ação em exodontias de terceiros molares

Rev Odonto Cienc, Dec 1, 2003

Research paper thumbnail of Profilaxia da endocardite bacteriana em odontologia

Rev Odonto Cienc, Jun 1, 1996

Research paper thumbnail of Fraturas de côndilo mandibular: Alternativas cirúrgicas e não-cirúrgicas para o tratamento

Rev Odonto Cienc, Mar 1, 2002

Research paper thumbnail of Computed tomography imaging superimposition protocols to assess outcomes in orthognathic surgery: a systematic review with comprehensive recommendations

Dentomaxillofacial Radiology, Mar 1, 2022

Objectives:A systematic review was performed to analyze the current evidence on three-dimensional... more Objectives:A systematic review was performed to analyze the current evidence on three-dimensional (3D) computed tomography (CT) superimposition protocols used to assess dentomaxillofacial changes after orthognathic and orthofacial surgery. Accuracy, reproducibility, and efficiency were evaluated.Methods:The search was divided into Main Search (PubMed, EMBASE, Cochrane Library, LILACS, and SciELO), Grey Literature search (Google Scholar and Open Grey), and Manual search. Thirteen studies were included. Of these, 10 reported data on accuracy, 10 on reproducibility and five on efficiency. Seven proposed or evaluated methods of voxel-based superimposition, three focused on the surface-based technique, one compared surface- and voxel-based superimposition protocols, one used the maximum mutual information algorithm, and one described a landmark-based superimposition method. Cone-beam computed tomography (CBCT) was the most common imaging technique, being used in 10 studies.Results:The accuracy of most methods was high, showing mean differences smaller than voxels’ dimensions, ranging between 0.05 and 1.76 mm for translational accuracy, and 0.10–1.09° for rotational accuracy. The overall reproducibility was considered good as demonstrated by the small mean error (range: 0.01–0.26 mm) and high correlation coefficients (range: 0.53–1.00). Timing to complete virtual superimposition techniques ranged between a few seconds up to 40 min.Conclusions:Voxel-based superimposition protocols presented the highest accuracy and reproducibility. Moreover, superimposition protocols that used automated processes and involved only one software were the most efficient.

Research paper thumbnail of Effect of low-level laser therapy on repair of the bone compromised by radiotherapy

Lasers in Medical Science, Jun 10, 2014

Radiotherapy (RDT) is commonly used for cancer treatment, but high doses of ionizing radiation ca... more Radiotherapy (RDT) is commonly used for cancer treatment, but high doses of ionizing radiation can directly affect healthy tissues. Positive biological effects of low-level laser therapy (LLLT) on bone repair have been demonstrated; however, this effect on surgical defects of bone previously compromised by radiotherapy has not been evaluated. The aim of this study was to investigate the influence of LLLT (λ= 830 nm) in femur repair after ionizing radiation. Twenty Wistar rats were divided into four groups: control group (GC, n=5) creation of bone defects (BDs) only; laser group (GL), with BD and LLLT (n=5); radiotherapy group (GR), submitted to RDT and BD (n=5); and radiotherapy and laser group (GRL), submitted to RDT, BD, and LLLT (n=5). GL and GRL received punctual laser application (DE=210 J/cm 2 , P=50 mW, t=120 s, and beam diameter of 0.04 cm 2) immediately after surgery, with 48-h interval during 7 days. Animals were euthanized at 7 days after surgery, and bone sections were evaluated morphometrically with conventional microscopy. Bone repair was only observed in nonirradiated bone, with significant improvement in GL in comparison to GC. GR and GRL did not present any bone neoformation. The result demonstrated a positive local biostimulative effect of LLLT in normal bone. However, LLLT was not able to revert the bone metabolic damage due to ionizing radiation.

Research paper thumbnail of Causas, classificações e manejos da perfuração da membrana de Schneiderian durante o procedimento de elevação do seio maxilar

Research paper thumbnail of Clinical case- reconstruction in region of inflammatory cystic injury with the use of recombinant growth hormone (RhGh) with liofilized bovine bone (Bio-Oss)

International Journal of Oral and Maxillofacial Surgery, May 1, 2019

Background: Masticatory myofascial pain is a common disorder and Botulinum toxin intramuscular in... more Background: Masticatory myofascial pain is a common disorder and Botulinum toxin intramuscular injections are often used to treat symptoms. There is variable practice in the management of this condition. As far as we are aware no previous meta-analysis has considered this topic. Objectives: The aim of this study was to systematically evaluate published literature on the efficacy of Botulinum toxin for myofascial pain. Methods: A comprehensive electronic search was performed in using the following online sources including PubMed and Cochrane Databases. Search terms used were: "Botulinum Toxins" [Mesh] AND "Masticatory Muscles" [Mesh]) AND "Randomized Controlled Trial" [Publication Type]. Randomised clinical trials comparing Botulinum toxin injection with placebo for the treatment of myofascial pain were selected. We independently reviewed the papers, extracted relevant data and assessed study quality according to standardised criteria. Our principal outcome measure was facial pain intensity on a visual analogue scale assessed a minimum four-weeks post-treatment. Findings: Five RCTs were suitable for meta-analysis. A total of 113 patients underwent Botulinum toxin injections and 83 had placebo treatment. Meta-analysis revealed botulinum toxin injection was associated with significant improvement in local pain symptoms at 4 weeks when compared to placebo (weighted mean difference, −0.58; 95% CI, −0.88 to −0.29, z = 3.89, p = 0.0001). There was no significant heterogeneity across studies (X 2 = 0.92, df = 4; P = 0.91; I2 = 0%). Conclusion: Our meta-analyisis confirms a statistically significant benefit with Botulinum toxin injections in managing myofascial pain symptoms. Further studies would enable more detailed evaluation of functional outcomes following these treatments.

Research paper thumbnail of Células tronco e engenharia tecidual: revisão de literatura / Stem cells and tissue engineering: a literature review

Brazilian Journal of Health Review, Mar 23, 2022

Com avanço da ciência e tecnologia juntamente associada ao conhecimento do potencial regenerativo... more Com avanço da ciência e tecnologia juntamente associada ao conhecimento do potencial regenerativo de células tronco e seu uso na medicina regenerativa, esse trabalho tem como objetivo informar e esclarecer sobre o que é engenharia tecidual e onde podemos aplicar células tronco para pesquisas, assim como quais tipos de células possuem e sua caracterização. Esse trabalho é uma revisão de literatura. Palavras-chave: células tronco (stem cell), engenharia tecidual (tissue engineering).

Research paper thumbnail of Non-vascularized iliac crest bone graft for immediate reconstruction after marginal resection of multicystic ameloblastoma

International Journal of Oral and Maxillofacial Surgery, May 1, 2019

Background: Ameloblastoma is a rare benign odontogenic tumor with local aggressive behavior assoc... more Background: Ameloblastoma is a rare benign odontogenic tumor with local aggressive behavior associated with a high recurrence potential when improperly treated. It is classified into three types based on clinical, histological, and radiographic findings-unicystic, multicystic, and peripheral. The most appropriate treatment of ameloblastoma remains controversial, varying from conservative to radical approaches and should be chosen according to macroscopic and histological characteristics of each tumor. To solve esthetic and functional disabilities caused by radical approaches, several techniques for reconstruction of the orofacial region have been proposed, such as free bone grafts, vascularized bone grafts, particulate bone grafts, reconstruction plates, and osteogenic distraction, among others. Objectives: The aim of this study was to evaluate the effectiveness of a therapy based on marginal resection and immediate reconstruction with iliac crest bone graft to treat a multicystic ameloblastoma. Methods: This report describes a case of a 31-year-old female diagnosed with multicystic ameloblastoma in the posterior portion of the mandible who underwent a marginal resection and immediate reconstruction with iliac crest bone graft. After surgery, postoperative control with panoramic radiographs and CTs was performed. Findings: After one year, radiographic control confirmed complete integration of the bone graft. After three years of clinical and radiological follow-up, there was no evidence of recurrence. Conclusion: The proposed treatment was effective in the management of early diagnosed multicystic ameloblastoma, and a low morbidity surgery could be performed allowing immediate reconstruction and early prosthetic rehabilitation.