Intraosseous foreign-body granuloma in the mandible subsequent to a 20-year-old work-related accident

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Data

2008-10-01

Autores

Sarmento Silveira, Vanessa Avila
do Carmo, Elaine Dias
Dias Colombo, Carlos Eduardo [UNESP]
Rodrigues Cavalcante, Ana Sueli [UNESP]
Carvalho, Yasmin Rodarte [UNESP]

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ISSN da Revista

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Editor

Medicina Oral S L

Resumo

The purpose of this article was to describe the clinical and microscopic features of an intraosseous foreign-body granuloma in the mandible that developed after the traumatic implantation of metal fragments during a work-related accident. A 65-year-old male patient had a severe pain in the body of mandible. Clinical examination showed facial asymmetry and a scar, extending to the left mental region. Intraoral examination revealed a soft mass involving the left alveolar bone with normal appearance of the mucosa surface. Panoramic radiographs showed a radiolucent lesion along the mandible extending from the central incisive to the first molar. Computed tomography revealed an osteolytic mass in the same area. His medical history included a work-related accident twenty years prior to evaluation. During the biopsy an important amount of bright metal-like pieces surrounded by soft tissue were found. A microscopic examination showed a foreign body associated with an aggregation of multinucleated giant cells. The final diagnosis was a foreign body granuloma. Even though foreign-body granulomas in the mandible are rare lesions, dentists should be familiar with their features and include them in the differential diagnosis of tissue masses.

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Palavras-chave

Granuloma, foreign-body, mandible, giant cells, inflammation

Como citar

Medicina Oral Patologia Oral Y Cirugia Bucal. Valencia: Medicina Oral S L, v. 13, n. 10, p. E657-E660, 2008.