The methylmethacrylate was first synthesized in 1902 by Röhm, a German chemical, and was patented by the name of Plexiglas in 1928. This alloplastic material had its first use, for medical purposes, in 1936 as dental prosthetics. In 1940 the methylmethacrylate was used to cover a major defect at the skull due to craniotomy. The use of methylmethacrylate at maxillofacial procedures it is basically as a fill material for facial defects, it can be used for maxillofacial trauma procedures, reconstructive procedures and even for orthognatic surgery, it is a safe material and your use usually do not promote side effect, due to its properties that are almost ideal, it is a chemically inert material, biocompatible, noncarcinogenic, low cost, easy to handle and stabilize, it does not alter its form or volume allowing a precise planning of the surgical procedure. The aim of this presentation is to show the versatile use of the methylmethacrylate in innumerous procedures of oral and maxillofacial surgery in a public service in Brazil.

Conflict of interest: None declared.