Differential diagnosis and therapeutic conduct for periapical bone dysplasia: case report
Keywords:Periapic cement-bone dysplasia; Cementoma; Diagnosis differential; Methylene blue; Laser therapy; Periodontium.
Periapical bone cement dysplasia has been desc Periapical bone cement dysplasia has been described as a condition that generally affects the maxilla and mandible bones, occurring mainly in black or Asian women in a middle age group. It is a lesion of unknown etiology whose diagnosis, which is carried out by means of routine dental exams, is extremely important so that undue treatments are not carried out. The objective of this study is to carry out a differential diagnosis related to dysplasic lesion and endodontic periapical lesion. , as a therapeutic approach, to report a clinical case of a 38-year-old female patient who presented to the Polyclinic of Faculdade Patos de Minas for routine dental treatment. After radiographic examination, a radiolucent area was detected, which, after a positive vitality test, was diagnosed as periapical bone cement dysplasia. Weekly laser therapy associated with 1% methylene blue will be used to attempt to regress the dysplastic lesion and improve the periodontal condition, in order to remedy the present purulent collection. The treatment of the lesion when it is decided not to enter surgical methods is palliative and may not obtain the desired result, which is the total regression of the lesion.
Amaral, S. V. S., Marceliano-Alves, M. F. V., Miranda, R. B., Silveira, B. C. (2014). Periapical bone cement dysplasia and the differential diagnosis with lesions of endodontic origin: case report. Full Dent Sci, 6(21), 138-141. Recuperado de https://www.researchgate.net/publication/283550757_Displasia_Cemento_Ossea_periapical_e_o_diagnostico_diferencial_com_lesoes_de_origem_endodontica?channel=doi&linkId=563e9b5508ae45b5d28c5c84&showFulltext=true
Brody, A., Zalatnai, A., Csomo, K., Belik, A., Dobo-Nagy, C. (2019). Difficulties in the diagnosis of periapical translucencies and in the classification of cemento-osseous dysplasia. BMC Oral Health, 19(1), 139. Recuperado de https://bmcoralhealth. biomedcentral.com/track/pdf/10.1186/s12903-019-0843-0
Cavalcanti, P. H. P., Nascimento, E. H. L., Pontual, M. L. A., Pontual, A. A., Marcelos, P. G. C. L., Perez, D. E. C., et al. (2018). Cemento-Osseous Dysplasias: Imaging Features Based on Cone Beam Computed Tomography Scans. Brazilian Dental Journal, 29(1), 99-104. Recuperado de http://www.scielo.br/scielo.php?script=sci_arttext&nrm= iso&lng=pt&tlng=pt&pid=S0103-64402018000100099
Chandler, N. P., Love, R. M., M. D. S., Göran Sundqvist. G. (1999). Laser Doppler flowmetry: An aid in differential diagnosis of apical radiolucencies. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 87, 613-616. Recuperado de https://www.sciencedirect.com/scienc e/article/abs/pii/S1079210499701447
Daviet-Noual, V., Ejeil, A., Gossiome, C., Moreau, N., Salmon, B. (2017). Differentiating early stage florid osseous dysplasia from periapical endodontic lesions: a radiological-based diagnostic algorithm. BMC Oral Health, 17(1), 161. Recuperado de https://www.ncbi.nlm.nih.gov/pubmed/29284472
Faria, J. A., Palhares, C., Terzis, L. C. F. (2018). Periapical cemento-osseous dysplasia: a case report in a leucoderma patient. Bib. Puc Minas, 1-12. Recuperado de http://bib.pucminas.br:8080/pergamumweb/vinculos/000029/000029c5.pdf
Garcia, H. S. (2011). Orthodontic treatment of a patient with florid bone dysplasia: a case report. (monografoa). Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil. Recuperado de https://repositorio.ufmg.br/bitstream/1843/BUOS-94QR2F/1/mo nografia_final_ii.pdf
Kato, C. N. A. O., Sampaio, J. D. A., Amaral, T. M. P., Abreu, L. G., Brasileiro, C. B., Mesquita, R.A. (2019). Oral management of a patient with cemento-osseous dysplasia: a case report. Rev Gaúch Odontol, 67, 1-8. Recuperado de https://www.scielo.br/scielo.php? pid=S1981-86372019000100802&script=sci_arttext
Koche, J. C. (2011). Fundamentos de metodologia científica. Petrópolis: Vozes. Recuperado de http://www.brunovivas.com/wp-content/uploads/sites/10/2018/07/K%C3%B6che-Jos% C3%A9-Carlos0D0AFundamentos-de-metodologia-cient%C3%ADfica-_-teoria-da0D0Ac i%C3%AAncia-e-inicia%C3%A7%C3%A3o-%C3%A0-pesquisa.pdf
Ludke, M., & Andre, M. E. D. A. (2013). Pesquisas em educação: uma abordagem qualitativa. São Paulo: E.P.U. E.
Moura, J. P. G., Brandão, L. B., Barcessat, A. R. P. (2018). Study of photodynamic (PDT) in the repair of tissue injuries: clinical case study. Estação Científica (UNIFAP), 8(1), 103-110. Recovered from: https://periodicos.unifap.br/index.php/estacao/article/view/35117
Oliveira, C. N. A. (2016). Epidemiology of benign fibro-osseous lesions of the jaws (Dissertação). Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brasil. Recovered from: https://repositorio.ufmg.br/handle/1843/ODON-ACQSGS
Pereira, A. S., et al (2018). Metodologia da pesquisa científica. [free ebook]. Santa Maria: UAB/NTE/UFSM. Recuperado de https://www.ufsm.br/app/uploads/sites/358/20 19/02/Metodologia-da-Pesquisa-Cientifica_final.pdf
Ribeiro, A. C. P. (2011). Analysis of clinicopathological characteristics of fibrous dysplasias and central ossifying fibromas involving the mandible and maxilla (Tese). Unicamp. Campinas, São Paulo, Brasil. Recuperado de http://repositorio.unicamp.b r/jspui/handle/REPOSIP/288415
Santos Netto, J. N., Cerri, J. M., Miranda, A. M. M.A., Pires, F.R. (2013). Benign fibro-osseous lesions: clinicopathologic features from 143 cases diagnosed in an oral diagnosis setting. Oral and maxillofacial pathology, 115(5), 56-64. Recuperado de https://www.oooojournal.net/article/S2212-4403(12)00408-7/pdf
Senia, E. S., Sarao, M. S. (2014). Periapical cemento-osseous dysplasia: a case report with twelve-year follow-up and review of literature. International endodontic journal, 48(11), 1086-1099. Recuperado de https://onlinelibrary.wiley.com/doi/pdf/10.1111/iej.12417
Studart-Soares, E. C., Scortegagna, A., Azoubel, E., Pezzi, L. P. G., Sant'Ana Filho, M. (1998). Fibro-osseous lesions: periapical cemento-osseous dysplasia X florid cemento-osseous dysplasia. R.Fac.Odontol. Porto Alegre, 9 (2), 26-30. Recuperado de https://www.seer.ufrgs.br/RevistadaFaculdadeOdontologia/article/view/16795
Tolentino, E. S., Tolentino, L. S., Iwak, L. C. V., IwakI Filho, L. (2010). Surgical Treatment of Cemento-Ossifying Fibroma: Clinical Case Report. Robrac, 19(48), 92-96. Recuperado de http://files.bvs.br/upload/S/0104-7914/2010/v19n48/a0019.pdf
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