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Oral Focal Mucinosis: Clinical Case Presentation With a Focus on Esthetic and Functional Surgical Resolution
Author(s) -
Bosco Alvaro Francisco,
Macarini Valmir Campos,
de Almeida Juliano Milanezi,
Theodoro Letícia Helena,
Novaes Vivian Cristioronha,
Gualberto Júnior Erivan Clementino,
Crivelini Marcelo Macedo,
Pazmino Victor Fabrizio Cabrera,
Garcia Valdir Gouveia
Publication year - 2014
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1902/cap.2013.130018
Subject(s) - medicine , lesion , presentation (obstetrics) , biopsy , oral mucosa , dentistry , maxillary central incisor , case presentation , surgery , pathology
When planning excisional surgery, alterations in the oral mucosa, particularly in esthetically important areas, represent a challenge. For cases involving an exophytic lesion with a vegetative tumoral aspect, a clinician may prioritize obtaining a definitive diagnosis by histopathologic and histochemical examinations over the preservation of esthetics or maintenance of the involved tooth. Case Presentation: A painless, hard lesion with normal coloration was present in the maxillary left central incisor of a patient for at least 6 years. A biopsy was performed to preserve oral mucosa and a treatment plan was established that included endodontic retreatment and prosthetic restoration. The histopathologic diagnosis was oral focal mucinosis, an uncommon and poorly characterized type of lesion. Conclusion: A conservative biopsy of the lesion facilitated an accurate diagnosis, promoted the patient's comfort, and achieved satisfactory esthetic results.