Tratamento conservador em lesão intraóssea mandibular: relato de caso clínico

• Autor(a) principal: Poersch, Marina Dutra
• Data de Publicação: 2018
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Universitário da Ânima (RUNA)
• Texto Completo: https://repositorio.animaeducacao.com.br/handle/ANIMA/9845
• topic: Diagnóstico; Punção/aspiração; Biópsia; Marsupialização; Lesão intraóssea

Diagnosis is a fundamental step, which intends to exclude the disease and rehabilitate the patient. Complementary, imaging (2D, 3D) and laboratory tests are essential for a correct diagnosis, follow-up, proservation, and conduct of the professional for appropriate treatment. This paper reports a clinical case of mandibular intraosseous lesion in an elderly, systemically compromised patient, focusing on the diagnostic construction steps. The diagnostic hypotheses of this case were: Ameloblastoma, Central Lesion of Giant Cells and Odontogenic Keratocyst. These lesions are recurrent and infiltrative, and may reach large and generally asymptomatic lesions, such as the lesion described in this clinical case. Patient M.O.S, 63 years old, male gender, was attended at the Dentistry Clinic of the Southern University of Santa Catarina for an evaluation. In the extra-oral clinical examination, he was within the normal range, but when the intra-oral evaluation was made, an increase in volume was observed in the buccal mucosa at the bottom of the sulcus in the lower right region. After the periapical radiographic examination of the region, a well-defined unilocular radiolucent area was observed in the lower canine region of the right lower first molar. Due to the extension of the lesion, a panoramic radiograph was requested to better visualize the lesion. According to the diagnostic hypotheses reported in the radiographic report, a cone beam computed tomography was indicated for better diagnostic definition and anatomical involvement. As the patient presented a delicate systemic condition for the procedure of total removal of the lesion to be performed in the Dentistry clinic, a minimally invasive surgery, the incisional biopsy, was performed in order to obtain the definitive diagnosis. The puncture / aspiration was also used, and then it was anchored in the marsupialization technique, aiming at reduction the lesion, a fact demonstrated in the panoramic radiographic image after 7 months after the intervention.