Regeneration of new periodontal attachment following surgical removal of a Peripheral Giant Cell Granuloma in a young patient: an 8-year follow-up.

IF 2.2 2区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
A Cuozzo, L Mauriello, V Iorio-Siciliano, A Blasi, F Riccitiello, L Ramaglia
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Abstract

Background: Peripheral Giant Cell Granuloma (PGCG) is a rare benign lesion of the oral cavity originating from periosteum and gingival connective tissue, associated to local irritant and/or traumatic factors. Clinically PGCG appears as a painless swelling lesion with a smooth surface, brown red or purple in colour, ranging from few millimeters to 3-4 centimeters. The aim of this case report is to demonstrate the complete periodontal and bone regeneration after elimination of traumatic factors and surgical therapy.

Case report: A 12-year-old female patient complained a gingival swelling in region 2.1, following an orthodontic therapy. Following a careful evaluation of data collected by anamnesis and clinical and radiograph exams, the surgical excision of the lesion was scheduled. PGCG was confirmed by histological analysis. Finally, a series of follow up at one-, two-, three-, and eight-year were scheduled.

Conclusion: The long-term follow-ups seem to demonstrate that the surgical removal of a PGCG associated with bone resorption and deep periodontal pockets caused by development of the lesion may lead to the regeneration of new periodontal attachment for both the infrabony and the suprabony component of the periodontal pocket.

一例年轻患者周围巨细胞肉芽肿手术切除后牙周附着体的再生:8年随访。
背景:外周巨细胞肉芽肿(PGCG)是一种罕见的口腔良性病变,起源于骨膜和牙龈结缔组织,与局部刺激和/或创伤因素有关。临床表现为无痛性肿胀病变,表面光滑,呈棕红色或紫色,范围从几毫米到3-4厘米。本病例报告的目的是证明完全的牙周和骨再生后,消除创伤因素和手术治疗。病例报告:一名12岁的女性患者在接受正畸治疗后,主诉2.1区牙龈肿胀。在仔细评估由记忆、临床和x线检查收集的数据后,计划手术切除病变。经组织学分析证实为PGCG。最后,计划在1年、2年、3年和8年进行一系列随访。结论:长期随访似乎表明,手术切除病变发展引起的与骨吸收和深度牙周袋相关的PGCG可能导致牙周袋的下颌骨和上颌骨的新牙周附着体再生。
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来源期刊
European journal of paediatric dentistry
European journal of paediatric dentistry DENTISTRY, ORAL SURGERY & MEDICINE-PEDIATRICS
CiteScore
4.60
自引率
19.40%
发文量
43
审稿时长
6-12 weeks
期刊介绍: The aim and scope of the European Journal of Paediatric Dentistry is to promote research in all aspects of dentistry related to children, including interceptive orthodontics and studies on children and young adults with special needs.
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