Oral focal mucinosis: clinical case presentation with a focus on aesthetic and functional surgical resolution
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2014
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Bosco, Alvaro Francisco [UNESP]
Macarini, Valmir Campos
Almeida, Juliano Milanezi [UNESP]
Theodoro, Letícia Helena [UNESP]
Novaes, Vivian Cristina Noronha [UNESP]
Gualberto Júnior, Erivan Clementino [UNESP]
Crivelini, Marcelo Macedo [UNESP]
Pazmino, Victor Fabrizio Cabreba [UNESP]
Garcia, Valdir Gouveia
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Introduction: When planning excisional surgery, alterations in the oral mucosa, particularly in esthetically important areas, represent a challenge. For cases involving an exophytic lesion with a vegetative tumoral aspect, a clinician may prioritize obtaining a definitive diagnosis by histopathologic and histochemical examinations over the preservation of esthetics or maintenance of the involved tooth. Case Presentation: A painless, hard lesion with normal coloration was present in the maxillary left central incisor of a patient for at least 6 years. A biopsy was performed to preserve oral mucosa and a treatment plan was established that included endodontic retreatment and prosthetic restoration. The histopathologic diagnosis was oral focal mucinosis, an uncommon and poorly characterized type of lesion. Conclusion: A conservative biopsy of the lesion facilitated an accurate diagnosis, promoted the patient’s comfort, and achieved satisfactory esthetic results.
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Clinical Advances in Periodontics, v. 4, n. 4, p. 251-255, 2014.