Unusual exophytic gingival lesion in a newborn treated with diode laser

Tavares, Thalita Soares; Costa, Adriana Aparecida Silva Da; Freire-Maia, Fernanda Bartolomeo; Souza, Leandro Napier de; Zarzar, Patrícia Maria; Martins‐Júnior, Paulo Antônio; Aguiar, Maria Cássia Ferreira de; Mesquita, Ricardo Alves; Caldeira, Patrícia Carlos

doi:10.1016/j.oooo.2020.01.007

Cited by 6 publications

(7 citation statements)

References 45 publications

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“…The newborn lesions cases in this study occurred in the anterior maxilla, probably as a result of the presence of natal/neonatal teeth, which are more common in this region. As already mentioned, POF can arise from periodontal ligament cells, and the presence of these teeth can cause a low-grade local irritation and the development of this lesion ( 21 , 22 ).…”

Section: Discussionmentioning

confidence: 99%

“…However, it is important to highlight that this lesion occurs in a broad age range, including newborns, as shown in our results. Gingival lesions rarely occur in newborns, but when it is present, they often cause concern for parents, irritate babies, and impair feeding and breathing ( 21 ). The newborn lesions cases in this study occurred in the anterior maxilla, probably as a result of the presence of natal/neonatal teeth, which are more common in this region.…”

Section: Discussionmentioning

confidence: 99%

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Peripheral ossifying fibroma: A 20-year retrospective study with focus on clinical and morphological features

Cavalcante¹,

Barros²,

Cruz³

et al. 2022

Med Oral

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Background Peripheral Ossifying Fibroma (POF) is a reactive hyperplastic lesion that exclusively occurs in the gingiva and is characterized by the deposition of dystrophic calcification, cementum-like tissue, and immature and mature bone within the connective tissue. The objective of the present study was to perform a retrospective analysis of clinicopathologic features of POF. Material and Methods Clinical and histopathological data were obtained from biopsy records and histopathological reports from a Brazilian reference service in Oral Pathology (1999 - 2020). Morphological analysis was performed to evaluate features related to the mesenchymal component, inflammatory infiltrate, ulceration, and mineralized tissue. Results A total of 270 POFs were diagnosed during the study period. A higher frequency was observed in females (71.9%) between the third (22.9%) and fourth (23.3%) decades of life. The anterior upper gingiva (29.1%) was the most affected region. Mature (86.7%) and immature (52.6%) bone tissue were the most frequent. There was a significant association between immature bone deposition and lesions with size ≤ 1.7 cm ( p = 0.041); immature bone and cement-like tissue deposition with an evolution time ≤ 16 months ( p < 0.001); deposition of immature bone and mesenchymal hypercellularization ( p < 0.001); deposition of dystrophic calcification and the presence of ulceration ( p < 0.001). Conclusions The clinical characteristics corroborate the findings in the literature. The heterogeneous distribution and quantity of mineralized tissues found in the analyzed cases support the theory that the different mineralized tissues constitute a spectrum of clinical maturation of POF. Key words: Gingiva, gingival diseases, gingival hyperplasia, oral pathology, diagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Peripheral ossifying fibroma: A 20-year retrospective study with focus on clinical and morphological features

Cavalcante¹,

Barros²,

Cruz³

et al. 2022

Med Oral

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“…Uno de los tratamientos posibles y confiables a realizar es una incisión lineal con láser de diodo alrededor del pedúnculo formado en la encía. Radiográficamente no se observa rastro de la lesión (Tavares, Da Costa, Freire-Maia, Souza & Zarzar, 2020).…”

Section: Discussionunclassified

Diagnóstico e interpretación radiográfica del quiste de erupción en lactantes. Una revisión bibliográfica

Solórzano

2023

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El período que comprende los primeros mil días de vida de un lactante es considerado de vital importancia para el desarrollo de órganos y tejidos, por tal motivo se deben realizar controles periódicos para descartar o confirmar posibles patologías a tiempo. Una de las patologías más recurrentes en la cavidad de los lactantes es el quiste de erupción que se conforma de tejido blando y de color violáceo-azulado que resulta de una separación del folículo dental de la corona de un diente en erupción cuyo diagnóstico podría ser confundido con otras patologías. Su pigmento depende de la cantidad de sangre en el quiste cuando la corona dental no consigue romper la mucosa gingival. El objetivo se centra en analizar las características del quiste de erupción en lactantes por medio de exámenes histológicos e interpretaciones radiográficas, a través de una revisión de literatura entre los años 2014-2022. Como resultado se obtuvo que el tratamiento de preferencia para el quiste de erupción debe ser determinado para cada caso con un diagnóstico adecuado tanto en sus hallazgos clínicos como radiográficos y debe manejarse correctamente para disminuir las complicaciones del diente en desarrollo y la salud del infante.

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“…Both were removed by conventional surgery and showed no recurrence. Soares Tavares [27] reported a POF in a 2-month-old infant, localized on the mandibular alveolar ridge during the eruption of 8.1, impairing the patient's feeding. In contrast with the previous study, the authors decided to perform an excisional biopsy using laser, providing a valuable sample for the pathologists and a better post-operative course without bleeding, pain, and suture.…”

Section: Pof In Pediatric Patients: Analysis Of the Recent Literaturementioning

confidence: 99%

“…Of the 12 studies conducted on pediatric patients that we considered in this review, 9 authors have preferred this conventional treatment strategy because of its wellestablished reliability [8,11,14,20,25,26,28,29,32]. The remaining 3 authors reported the surgical excision of POF in newborns using diode laser [27,30,31].…”

Section: Therapeutic Strategiesmentioning

confidence: 99%

Diode Laser Surgery of Peripheral Ossifying Fibroma in Children: A Case Report with Narrative Review of the Literature

Forte,

Barile,

D'Amati

et al. 2024

Preprint

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Background: Peripheral Ossifying Fibroma (POF) is a benign gingival tumor generally presenting as a slow-growing mass, usually not ulcerated, and without bleeding. Histopathological exam shows fibrous connective tissue with spots or extensive areas of intralesional calcifications, which can also be detectable on radiograms. Methods and case presentation: We present the case of a 4-year-old male with a retro-incisive swelling of the hard palate, associated with speaking and feeding difficulties. On CT scans, a small intralesional calcification was detected. After conscious sedation, the patient was subjected to diode laser excision (910 nm, 2W, CW, 300 m fiber) with-out post-operative complications. A review was conducted by searching the words “peripheral ossifying fibroma” AND “children” OR “infant” and including manuscripts of the last 15 years. Results: POF is an uncommon lesion of the oral mucosa and may sporadically affect the palatal mucosa in children. Considering its epidemiology and conventional clinical presentation as epu-lis, the pre-operative diagnosis may be relatively difficult. Risk factors could be represented by plaque, calculus, or trauma, all supporting a possible reactive pathogenesis, but a certain etiology is still missing. The main problem of POF is the recurrence rate, which is particularly high (8-20%), thus suggesting that a deep excision is recommended with full extension to the hard tis-sue of bone and to the adjacent periodontal ligament. Diode laser surgery may be recommended for such treatments, especially in pediatric patients, associated with intraoperative conscious se-dation. Data emerging from the relevant literature on POF management in children have been collected and discussed. Conclusions: The authors suggest the use of diode laser for the complete excision of POF, especially in less-compliant patients as children, with a low grade of comorbidi-ties and good outcomes, giving the surgeon a viable alternative to conventional surgery.

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Unusual exophytic gingival lesion in a newborn treated with diode laser

Cited by 6 publications

References 45 publications

Peripheral ossifying fibroma: A 20-year retrospective study with focus on clinical and morphological features

Peripheral ossifying fibroma: A 20-year retrospective study with focus on clinical and morphological features

Diagnóstico e interpretación radiográfica del quiste de erupción en lactantes. Una revisión bibliográfica

Diode Laser Surgery of Peripheral Ossifying Fibroma in Children: A Case Report with Narrative Review of the Literature

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