NUMERO: #20230854

Título: TREATMENT MANAGEMENT IN YOUNG PATIENT WITH CORTICOSTEROID IN CENTRAL GIANT CELL LESION

Nome do Apresentador: Carlos Henrique Horst BIANCHIN

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Cirurgia e traumatologia bucomaxilofacial

Resumo: A 26-year-old woman presented to the Oral and Maxillofacial Surgery Service complaining of increased volume in the anterior region of the mandible. Intraoral examination revealed a hardened edema in the mandibular vestibule, pain on palpation, moderate mobility in the anterior teeth and mentual asymmetry. The patient underwent panoramic radiography 6 months ago, where a radiolucent lesion was observed crossing the mandibular midline, with well-defined areas, disrupting the buccal and lingual corticals, without displacement or root resorption of adjacent teeth. An incisional biopsy was performed and the histopathological diagnosis was a central giant cell lesion, after the exclusion of other giant cell lesions. The choice treatment was cycles of triamcinolone hexacetonide 20 mg/ml, infiltrated for each 1 cm3 of a radiolucent area of the lesion, since it has the function of inhibiting osteoclasts, enabling bone neoformation. Thus, it becomes the treatment of choice for non-aggressive lesions, leading to excellent clinical results.

Autor 1:  Carlos Henrique Horst BIANCHIN

E-mail 1:  [email protected]

Autor 2:   Maria Eduarda Schiestl MELO

E-mail 2:  [email protected]

Autor 3 :  João Victor Uchôa SILVA

E-mail 3:  [email protected]

Autor 4:  Lara Thais Coelho ARAUJO

E-mail 4:  [email protected]

Autor 5:  Heitor Fontes da SILVA

E-mail 5:  [email protected]