NUMERO: #20250532

Título: Gingival exophytic lesion as a manifestation of mandibular traumatic neuroma

Nome do Apresentador: Liliana Aparecida PIMENTA-BARROS

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Estomatologia

Resumo: Traumatic neuroma is a reactive proliferative lesion resulting from nerve injury, often associated with dental surgical procedures. Healing complications, infection, and chronic irritation may contribute to its development. A 45-year-old woman with controlled diabetes and hypertension, presented a dental infection. Extraoral examination revealed right mild submandibular and cervical swelling, tender on palpation. Intraorally, a 2.5 cm exophytic, normochromic, lobulated, and firm lesion was observed between right mandibular molars, extending slightly to premolars, along with extensive caries on second mandibular molar. Imaging exams showed bone rarefaction in the mental region extending to incisors and molars, an impacted tooth mandibular canine, and a radiolucent apical area with furcation involvement on second mandibular molar. An incisional biopsy of the firm, non-bleeding lesion was performed, followed by extraction the second molar and curettage. Histopathology revealed a traumatic neuroma and a periapical granuloma, respectively. The patient returned after three months for surgical excision.

Autor 1:  Liliana Aparecida PIMENTA-BARROS

E-mail 1:  [email protected]

Autor 2:   Bárbara Campo Dall'Orto MARTINS

E-mail 2:  [email protected]

Autor 3 :  Mariana Aguiar GOMES

E-mail 3:  [email protected]

Autor 4:  Martha Alayde Alcantara Salim VENÂNCIO

E-mail 4:  [email protected]

Autor 5:  Tereza Cristina Rangel PEREIRA

E-mail 5:  [email protected]

Autor 6:  Fernanda Mombrini PIGATTI

E-mail 6:  [email protected]

Autor 7:  Danielle Resende CAMISASCA

E-mail 7:  [email protected]