RESUMO
This is a report of a case of an unusual oral lesion after the placement of mini implants for the retention of a mandibular overdenture. A patient received four 2-mm-wide dental implants in the anterior mandible and had her mandibular denture relined with a soft material. After 3 months, she was not wearing her mandibular denture, and two nodular ulcerated lesions were observed near the mini implants. The lesions ceased following excision and regular denture wearing. Clinical and microscopic examination led to the diagnosis of traumatic ulcerative granuloma with stromal eosinophilia (TUGSE). TUGSE is rare lesion with a benign course that may occur following injury of the oral mucosa by mini implants under certain circumstances.
Assuntos
Implantes Dentários/efeitos adversos , Granuloma Eosinófilo/fisiopatologia , Úlceras Orais/fisiopatologia , Granuloma Periapical/fisiopatologia , Prótese Dentária Fixada por Implante/efeitos adversos , Bases de Dentadura/efeitos adversos , Granuloma Eosinófilo/etiologia , Granuloma Eosinófilo/cirurgia , Feminino , Humanos , Mandíbula/fisiopatologia , Mandíbula/cirurgia , Pessoa de Meia-Idade , Úlceras Orais/etiologia , Úlceras Orais/cirurgia , Granuloma Periapical/etiologia , Granuloma Periapical/cirurgiaRESUMO
INTRODUCTION: Palatal torus, or torus palatinus, is a benign bone alteration that may cause some discomfort during phonation or swallowing. When its growth or persistent exposition produces unpleasant symptoms, it must be surgically removed. CASE PRESENTATION: We treated an 82-year-old female patient who consulted for a painful ulcerous lesion she had had for a year and which produced halitosis and discomfort when swallowing. During the oral cavity physical exam we observed a hard protuberance on the midline. It showed a perforation and ulceration of the lateral posterior palatal mucosa on the left side. We considered the following diagnosis: palatal torus, osteoma, pyogenic granuloma, or a soft-tissue neoplasia. We decided to surgically remove it and to perform a histopathological examination. Clinical evolution was satisfactory with complete resolution one month after surgery. The histopathological examination showed hyperostosis along with chronic inflammation of the soft tissues and a simple hyperplasia of the mucosa, which in turn indicated a palatal torus. DISCUSSION: We report an unusual case of spontaneous exposition of a palatal torus which took up almost all of the hard palate area. Its resection is described and we inform the histopathological findings. In the literature review, we did not find a previous report of a spontaneous exposition of a palatal torus.
Assuntos
Exostose/complicações , Mandíbula/anormalidades , Úlceras Orais/etiologia , Palato Duro/anormalidades , Idoso de 80 Anos ou mais , Transtornos de Deglutição/etiologia , Transtornos de Deglutição/cirurgia , Diagnóstico Diferencial , Exostose/diagnóstico , Exostose/patologia , Exostose/cirurgia , Feminino , Granuloma Piogênico/diagnóstico , Halitose/etiologia , Halitose/cirurgia , Humanos , Mandíbula/patologia , Mandíbula/cirurgia , Neoplasias Bucais/diagnóstico , Úlceras Orais/cirurgia , Osteoma/diagnóstico , Palato Duro/patologia , Palato Duro/cirurgiaRESUMO
Introducción. El torus , o rodete, palatino es una alteración ósea benigna que puede generar molestias en la fonación y en la deglución. Cuando su crecimiento o exposición persistente producen síntomas molestos, debe ser resecado quirúrgicamente. Presentación del caso. Se trata de una paciente de 82 años de edad, que consultó por una lesión ulcerativa de un año de evolución, que producía dolor, halitosis y molestia a la deglución. En el examen físico de la cavidad oral, se observó una prominencia de consistencia dura en la línea media, con perforación y ulceración de la mucosa palatina en su porción lateral posterior izquierda. Se consideraron los diagnósticos de torus palatino, osteoma, granuloma piógeno y neoplasia de tejidos blandos. Se decidió resecarla quirúrgicamente y hacer el estudio histopatológico. La evolución clínica fue satisfactoria, con resolución completa un mes después de la cirugía. En el estudio de histopatología se observó hiperostosis ósea con inflamación crónica de los tejidos blandos e hiperplasia simple de la mucosa, que corresponden a un torus palatino. Discusión. Se reporta un inusual caso de exposición espontánea de un torus palatino que ocupaba casi toda la bóveda palatina, se describe su resección quirúrgica y se informan los hallazgos de histopatología. En la revisión bibliográfica realizada, no se encontró un reporte previo de exposición espontánea de torus palatino.
Introduction: Palatal torus, or torus palatinus, is a benign bone alteration that may cause some discomfort during phonation or swallowing. When its growth or persistent exposition produces unpleasant symptoms, it must be surgically removed. Case presentation: We treated an 82-year-old female patient who consulted for a painful ulcerous lesion she had had for a year and which produced halitosis and discomfort when swallowing. During the oral cavity physical exam we observed a hard protuberance on the midline. It showed a perforation and ulceration of the lateral posterior palatal mucosa on the left side. We considered the following diagnosis: palatal torus, osteoma, pyogenic granuloma, or a soft-tissue neoplasia. We decided to surgically remove it and to perform a histopathological examination. Clinical evolution was satisfactory with complete resolution one month after surgery. The histopathological examination showed hyperostosis along with chronic inflammation of the soft tissues and a simple hyperplasia of the mucosa, which in turn indicated a palatal torus. Discussion: We report an unusual case of spontaneous exposition of a palatal torus which took up almost all of the hard palate area. Its resection is described and we inform the histopathological findings. In the literature review, we did not find a previous report of a spontaneous exposition of a palatal torus.
Assuntos
Idoso de 80 Anos ou mais , Feminino , Humanos , Exostose/complicações , Mandíbula/anormalidades , Úlceras Orais/etiologia , Palato Duro/anormalidades , Diagnóstico Diferencial , Transtornos de Deglutição/etiologia , Transtornos de Deglutição/cirurgia , Exostose/diagnóstico , Exostose/patologia , Exostose/cirurgia , Granuloma Piogênico/diagnóstico , Halitose/etiologia , Halitose/cirurgia , Mandíbula/patologia , Mandíbula/cirurgia , Neoplasias Bucais/diagnóstico , Úlceras Orais/cirurgia , Osteoma/diagnóstico , Palato Duro/patologia , Palato Duro/cirurgiaRESUMO
Eosinophilic ulcer of the oral mucosa is a benign, rare, self-limiting, and generally asymptomatic lesion that shows spontaneous regression. Its etiopathogenesis is still uncertain, but trauma seems to play a fundamental role in the occurrence of this tumor. Clinically, this lesion manifests as an isolated ulcer preferentially located on the tongue, showing a raised and indurated border in addition to a white or yellowish bed. Microscopically, eosinophilic ulcer is characterized by an inflammatory infiltrate rich in leukocytes. Since these lesions show spontaneous cure, treatment becomes unnecessary, but in certain cases, cure is obtained by excision of the ulcer during biopsy. In these cases, the differential diagnosis with squamous cell carcinoma is made. A case of very small eosinophilic ulcer of the oral mucosa located on the lateral border of the tongue is presented.
Assuntos
Carcinoma de Células Escamosas/patologia , Eosinofilia/patologia , Neoplasias Bucais/patologia , Úlceras Orais/patologia , Doenças da Língua/patologia , Diagnóstico Diferencial , Eosinofilia/cirurgia , Feminino , Humanos , Pessoa de Meia-Idade , Úlceras Orais/cirurgia , Doenças da Língua/cirurgiaRESUMO
The aetiology of mouth ulcers is diverse and may include several types of trauma, systemic disease and infection. The size, depth, outline, base, aspect of the floor, pain, time of evolution and resolution of oral ulcers are discussed. Both past and present medical history, biopsy, blood tests and microbiological tests are also considered in order to assure precise identification. This paper reports a case of a lip ulcer caused by Klebsiella pneumoniae.