Juliana Figueiredo da Roza, Carlos Augusto Aquino Negreiros, Letícia da Silva Soares Gomes, Sabrina Elora de Almeida Correa, Natasha Araújo Mota, Jeconias Câmara, Tatiana Nayara Libório-Kimura
{"title":"Psammomatoid juvenile ossifying fibroma in a male patient with crouzon syndrome","authors":"Juliana Figueiredo da Roza, Carlos Augusto Aquino Negreiros, Letícia da Silva Soares Gomes, Sabrina Elora de Almeida Correa, Natasha Araújo Mota, Jeconias Câmara, Tatiana Nayara Libório-Kimura","doi":"10.1016/j.oooo.2025.01.081","DOIUrl":"10.1016/j.oooo.2025.01.081","url":null,"abstract":"<div><div>A 16-year-old male patient, with Crouzon syndrome and severe bone deformity was referred to a hospital after an orthodontics evaluation, which detected a hyperdense circumscribed image in the maxilla during a facial computed tomography examination. The patient had anosmia and clinically a slight painless bulging in the anterior maxilla. An excisional biopsy with peripheral osteotomy was performed and the material was sent for histopathological analysis with under hypothesis of osteoma or fibrous dysplasia. Microscopically, there were benign fibro-osseous lesions characterized by hypercellular fibrous connective tissue, containing multiple ossicles with variable sizes and shapes, from spherical, oval to irregular and eosinophilic, with few basophilic areas similar to calcification, many with a brush border. Vital bone trabeculae were observed bordering the lesion and erythrocyte extravasation was compatible with psammomatoid juvenile ossifying fibroma. There was no need for further treatment and the patient remains under oral and maxillofacial follow-up for future orthognathic surgery.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Pages e15-e16"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daiana da Silva Ferreira, Ana Rita Vianna Potrich, Amanda de Farias Gabriel, Lauren Neumann Villarinho, Julia Souza Führ, Marco Antonio Trevizani Martins, Manoela Domingues Martins
{"title":"Medication-related osteonecrosis of the jaw: a case report","authors":"Daiana da Silva Ferreira, Ana Rita Vianna Potrich, Amanda de Farias Gabriel, Lauren Neumann Villarinho, Julia Souza Führ, Marco Antonio Trevizani Martins, Manoela Domingues Martins","doi":"10.1016/j.oooo.2025.01.079","DOIUrl":"10.1016/j.oooo.2025.01.079","url":null,"abstract":"<div><div>Medication-related osteonecrosis of the jaw (MROJ) represents a challenge for patients taking antiangiogenic and antiresorptive medications. Here we present a case involving a 55-year-old man with lupus and type 2 diabetes, treated with alendronate sodium. After multiple extractions, there was bone exposure accompanied by an infectious condition in the operated regions. In addition, he had ulcers and erythema on the oral mucosa. Surgical interventions of debridement of necrotic bone tissue, antimicrobial photodynamic therapy (aPDT) and photobiomodulation (FBM) were used as treatment, we addressed his MROJ. After carrying out the proposed treatment, the lesions are in remission but are still being monitored. Laser technology, increasingly favored for surgeries and therapies such as aPDT and FBM, was fundamental. Although this multidimensional approach shows promise, thorough studies are imperative to assess relapse risks and long-term outcomes. This study emphasizes the continued need to refine MROJ treatments, given their complexity and profound implications.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Page e15"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yuri Kalinin, Vanessa Cristina de Branco Gonçalves, Ivan José Correia-Neto, Suellen Vieira do Nascimento, Lucas Lacerda de Souza
{"title":"Oral Kaposis sarcoma report of 4 cases","authors":"Yuri Kalinin, Vanessa Cristina de Branco Gonçalves, Ivan José Correia-Neto, Suellen Vieira do Nascimento, Lucas Lacerda de Souza","doi":"10.1016/j.oooo.2025.01.060","DOIUrl":"10.1016/j.oooo.2025.01.060","url":null,"abstract":"<div><div>Oral Kaposi's Sarcoma (KS) presents a significant diagnostic challenge and is an important indicator of HIV/AIDS. This study aims to present a case series involving 4 male patients with a mean age of 28.5 years (range 22-39). The patients exhibited reddish, ulcerated, and bleeding lesions on the hard palate and gingiva, along with disseminated lesions. Incisional biopsies revealed spindle cell proliferation and slit-like vascular spaces, with immunohistochemistry positive for CD34 and HHV-8 markers, confirming the diagnosis of KS. For 2 patients, oral KS was the initial sign of HIV infection, which was also indicated by increased viral loads and decreased CD4/T cell counts. All patients were referred for treatment and have been under follow-up for an average of 30.5 months (range 2-48). This highlights the importance of recognizing oral KS as an early indicator of HIV and advocates for a comprehensive, multidisciplinary management approach to systemic diseases.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Page e11"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fernando Luiz Zanferrari, Aaron Bensaul Trujillo Lopez, Jose Luis Dissenha, Lara Feltraco, Bruna Bernardino Silva, Priscila Queiroz Mattos da Silva, Laurindo Moacir Sassi
{"title":"Osteonecrosis of the jaw evolution in patients with breast cancer, with 3 years of follow-up: report of a case","authors":"Fernando Luiz Zanferrari, Aaron Bensaul Trujillo Lopez, Jose Luis Dissenha, Lara Feltraco, Bruna Bernardino Silva, Priscila Queiroz Mattos da Silva, Laurindo Moacir Sassi","doi":"10.1016/j.oooo.2025.01.069","DOIUrl":"10.1016/j.oooo.2025.01.069","url":null,"abstract":"<div><div>Zoledronic acid is one of the therapeutic alternatives in patients with breast cancer, to inhibit bone resorption in patients with metastatic breast cancer lesions. This paper aims to present a clinical evolution of osteonecrosis of the jaw associated with the use of medication, with 3 years of follow-up. A 58-year-old Caucasian female patient, diagnosed with breast cancer in 2017, used zoledronic acid once a month for 2 years. After 2 years, she presented bone exposure in his jaw due to the use of a poorly adapted prosthesis. The surgical approach had to be maxillary bone removal. Patient with tomographic follow-up for 3 years. It shows us the relevance of Dental clinicians of dental monitoring before, during, and after starting these medications.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Page e13"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jamerson Carvalho Silva, Isabela Teixeira Fernandes, André Sampaio Souza, Flávia Caló de Aquino Xavier, Jean Nunes dos Santos
{"title":"Carcinoma mucoepidermoid arising as an intraoral swelling and osseous involvement: report of a case diagnosed as a cyst","authors":"Jamerson Carvalho Silva, Isabela Teixeira Fernandes, André Sampaio Souza, Flávia Caló de Aquino Xavier, Jean Nunes dos Santos","doi":"10.1016/j.oooo.2025.01.054","DOIUrl":"10.1016/j.oooo.2025.01.054","url":null,"abstract":"<div><div>A 56-year-old female presented with a 30 mm nodular lesion on the left side of the retromolar trigone. The lesion caused slight cortical displacement. The image scans demonstrated a well-defined radiolucent area with often corticated margins, preserving the mandibular canal. On CT images, the lesion eroded through the lingual cortical plate into the gingival soft tissues. The lesion was removed under general anesthesia, and the patient has been under observation for 7 months. Microscopically, solid and multicystic growth patterns were present, with mucous and epidermoid cells. Intermediate cells were also detected. The amount of cyst formation was higher than 80%, with a high proportion of mucous cells and a low rate of mitosis. Atypia was mild, but necrosis and vascular/perineural invasion were absent. Then, a diagnosis of low-grade mucoepidermoid carcinoma stage pT2, pNx was rendered. The patient is currently under periodic review and has no relapse.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Page e10"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Waldenia Pereira Freire, Diego Filipe Bezerra Silva, Jozinete Vieira Pereira, Robéria Lúcia de Queiroz Figueiredo, Hannah Carmem Verheul Carlos Ribeiro Silva, Pollianna Muniz Alves, Daliana Queiroga de Castro Gomes
{"title":"Diode laser on excision of peripheral odontogenic myxoma: a rare case report","authors":"Waldenia Pereira Freire, Diego Filipe Bezerra Silva, Jozinete Vieira Pereira, Robéria Lúcia de Queiroz Figueiredo, Hannah Carmem Verheul Carlos Ribeiro Silva, Pollianna Muniz Alves, Daliana Queiroga de Castro Gomes","doi":"10.1016/j.oooo.2025.01.056","DOIUrl":"10.1016/j.oooo.2025.01.056","url":null,"abstract":"<div><div>Odontogenic myxoma represents about 3% to 15.44% of all odontogenic tumors. There is still no consensus on the surgical treatment of this lesion. An alternative treatment for these lesions is the high-power laser, which has advantages over conventional surgical treatments such as precise tissue incision, coagulation during the operation, and postoperative benefits. This is a rare case of a 63-year-old male patient with a peripheral odontogenic myxoma measuring approximately 10 cm in the attached gingiva region of tooth 16 removed with a high-power diode laser (808 nm, 3W, in continuous mode, under constant suction, with 400 µm optical fiber). In the present case, there was no need for suturing, no postoperative discomfort, and minimal bleeding during the procedure. In a 12-month follow-up period, there were no signs of recurrence. It was observed that a high-power diode laser is effective in the treatment of odontogenic myxoma.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Pages e10-e11"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Beatriz da Ponte Carvalho do Nascimento, Águida Maria Menezes Aguiar Miranda, Fabio Ramoa Pires, Gabriela Laterça da Silva Abreu, Jade Rocha Vasconcellos Ribeiro, Guilherme Duque Silva, Melissa Vasconcellos Raymundo
{"title":"Secretory carcinoma on the floor of the mouth: clinical case","authors":"Ana Beatriz da Ponte Carvalho do Nascimento, Águida Maria Menezes Aguiar Miranda, Fabio Ramoa Pires, Gabriela Laterça da Silva Abreu, Jade Rocha Vasconcellos Ribeiro, Guilherme Duque Silva, Melissa Vasconcellos Raymundo","doi":"10.1016/j.oooo.2025.01.061","DOIUrl":"10.1016/j.oooo.2025.01.061","url":null,"abstract":"<div><div>Secretory carcinoma is an uncommon subtype of salivary gland cancer, with a predilection for the parotid gland. The case involves a 51-year-old female patient with no comorbidities, and no history of alcohol consumption or tobacco use, who presented with a painless, smooth, firm, oval-shaped nodule exhibiting a purplish hue on the floor of the mouth, with a progression of 5 months. Diagnostic considerations included salivary gland neoplasia or ranula, prompting an incisional biopsy. Intraoperatively, the discharge of viscous fluid was noted, alongside the identification of a solid lesion indicative of salivary gland neoplasia. Histopathological analysis confirmed the presence of secretory carcinoma. The patient was subsequently referred to a primary care facility and later directed to a Head and Neck Surgery Service, where she underwent resection with clear oncological margins. She is presently under outpatient surveillance, having achieved satisfactory recovery without evidence of recurrence over a 13-month follow-up period.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Pages e11-e12"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juan Martin Pimentel Sola, Ignacio Molina Avila, Ruth Valdez, Yone Chacon, Gerardo Gilligan
{"title":"Solitary oral paracoccidioidomycosis without pulmonary symptoms: a case report","authors":"Juan Martin Pimentel Sola, Ignacio Molina Avila, Ruth Valdez, Yone Chacon, Gerardo Gilligan","doi":"10.1016/j.oooo.2025.01.075","DOIUrl":"10.1016/j.oooo.2025.01.075","url":null,"abstract":"<div><div>To present a rare clinical case of oral Paracoccidioidomycosis without pulmonary symptoms, emphasizing the clinical challenge to diagnose deep mycosis in dental practice. We report a case of a 37-year-old unemployed male patient from Tartagal, Salta, referred to the Stomatology Unit of Hospital Señor del Milagro due to a 3-month history of ulcerative lesions on the lower lip, upper lip, and left buccal mucosa. The clinical hypothesis was a malignant lesion (oral squamous cell carcinoma). A fresh sample was obtained for Giemsa staining, an incisional biopsy was performed for histopathological examination with PAS staining, and a chest X-ray was suggested. The final diagnosis was Oral Paracoccidioidomycosis. The patient was treated with intravenous amphotericin B 50 mg every 24 hours for 10 days, followed by oral itraconazole 200 mg every 12 hours for 9 months. Correct diagnosis of this fungal infection is crucial, emphasizing interdisciplinary collaboration among different specialties.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Page e14"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Ines Borba de Araújo, Maria Helena Monteiro Durães, Emanuelle de Siqueira Leal Capellini, Paulo de Camargo Moraes, Victor Angelo Martins Montalli, Marcelo Sperandio
{"title":"Secondary syphilis: clinical case report","authors":"Maria Ines Borba de Araújo, Maria Helena Monteiro Durães, Emanuelle de Siqueira Leal Capellini, Paulo de Camargo Moraes, Victor Angelo Martins Montalli, Marcelo Sperandio","doi":"10.1016/j.oooo.2025.01.024","DOIUrl":"10.1016/j.oooo.2025.01.024","url":null,"abstract":"<div><div>Syphilis is an infectious disease caused by the bacteria Treponema pallidum. The main form of transmission is through unprotected sexual intercourse. Genitals are the primary site of infection, but oral manifestations can be observed in the primary and secondary stages of the disease. A woman, mixed race, 35 years old, sought the Basic Health Unit complaining of stains in her mouth, body pain, and malaise. On clinical examination, bilateral cervical lymphadenopathy and maculopapular plaques, grayish and with red edges, were observed on the labial mucosa. Rapid Syphilis and HIV tests were carried out with a positive result for Syphilis, with a positive VDRL. Faced with the secondary phase of syphilis, guidance was adopted and referral to the team nurse who prescribed benzathine penicillin for 2 weeks, subsequently remission of the lip lesions. The dentist is essential in diagnosing syphilis, as the oral mucosa manifests lesions caused by the disease.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Page e4"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}