NUMERO: #20240690

Título: CLINICAL AND SURGICAL MANAGEMENT OF A CYSTIC LESION IN A PATIENT WITH APLASTIC ANEMIA: PEARLS AND PITFALLS

Nome do Apresentador: Jamile de Souza VIEIRA

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Estomatologia

Resumo: A 50-year-old male patient with severe aplastic anemia undergoing treatment for the past 12 years at a local hematological service, was referred to the authors oral medicine service after the institutional dental care professional noticed on a panoramic radiograph a well-defined circumscribed radiolucent lesion in the periapical region of tooth 48. The patient had a history of several treatment interruptions due to distance and health accessibility issues. The patient did not present pain, edema, or swelling. Preoperative exams revealed intense thrombocytopenia (platelets = 26000/mm³ and MPV = 6.3 fL) requiring platelet transfusion to control potential bleeding. The 48 tooth extraction with cystic enucleation, and curettage were performed without complications. Histopathological diagnosis of radicular cyst led to clinical follow-up, mostly due to inferior alveolar nerve paresthesia, requiring 10 sections of low-power laser therapy. After 6 moths bone formation and total clinical recovery was achieved.

Autor 1:  Jamile de Souza VIEIRA

E-mail 1:  [email protected]

Autor 2:   Larissa Cristina Silva de OLIVEIRA

E-mail 2:  [email protected]

Autor 3 :  Raiana Santos de CARVALHO

E-mail 3:  [email protected]

Autor 4:  Cleber Nunes ALEXANDRE

E-mail 4:  [email protected]

Autor 5:  Tiago Novaes PINHEIRO

E-mail 5:  [email protected]

Autor 6:  Antonio Jorge Araújo de Vasconcelos II

E-mail 6:  [email protected]

Autor 7:  Lioney Nobre CABRAL

E-mail 7:  [email protected]