Central giant cell granuloma: treatment with calcitonin, triamcinolone acetonide, and a cystic finding 3 years and 6 months after the primary treatment.
Oral Maxillofac Surg
; 17(3): 229-34, 2013 Sep.
Article
em En
| MEDLINE
| ID: mdl-23111768
ABSTRACT
BACKGROUND:
Central giant cell granuloma is a benign condition of the jaws which may present an aggressive behavior. CASE REPORT A 9-year-old boy was complaining of swelling in the floor of the mouth. A solid swelling was observed in the area of the lower incisors. From the radiographic exam, we observed a radiolucent image in the mandibular bone with well-defined limits extending from the apical region of tooth 33 to the apical region of tooth 42.DISCUSSION:
Due to the diagnosis and the age of the patient, we chose a conservative treatment, administering subcutaneous injections of calcitonin. During this treatment, no reduction to the lesion was observed. Therefore, we chose to treat the lesion with triamcinolone acetonide. Monthly follow-ups demonstrated good lesion reduction and the absence of any clinical symptoms during the first 2 years. After a 3-year follow-up, the patient returned, presenting mobility of the lower incisors. A significant increase in the size of the lesion was observed. After a biopsy, with the removal of tissue which had the appearance of a cyst capsule, microscopic analyses were found to be compatible with a secondarily infected cyst. Two months following this procedure, the patient did not present tooth mobility anymore and the oral mucosa presented a normal aspect. Following a radiographic exam, full lesion repair was observed. These conservative treatments should be the first option in cases of central giant cell granuloma and the patient must be observed for a long period of time, until no further clinical or radiographic signs of lesions are observed.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Calcitonina
/
Triancinolona Acetonida
/
Granuloma de Células Gigantes
/
Doenças Mandibulares
/
Cistos
/
Conservadores da Densidade Óssea
/
Mandíbula
/
Anti-Inflamatórios
/
Soalho Bucal
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Child
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article