Banca de DEFESA: LEILA MARQUES ARAUJO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE: LEILA MARQUES ARAUJO
DATA: 14/11/2013
HORA: 14:00
LOCAL: HUJBB - Predio Anatomia Patologica
TÍTULO: Lesões não endodônticas diagnosticadas como periodontite apical: relato de caso e revisão de literatura.
PALAVRAS-CHAVES: Periapical lesion; neoplasia mimicking apical periodontitis; misdiagnosis; endodontic lesion.
PÁGINAS: 30
GRANDE ÁREA: Ciências da Saúde
ÁREA: Odontologia
SUBÁREA: Clínica Odontológica
RESUMO: Abstract: Aim: This study aimed to analyze cases referred from a reference service in oral pathology that were initially misdiagnosed as periapical lesions of endodontic basis and perform a review of the literature regarding lesions located in the apical area of teeth with non-endodontic source. Methods: A survey was made of clinical cases derived from the service of oral pathology, from 2002 to 2012. The pertinent literature was also reviewed using Science Direct and PubMed databases. The lesions were grouped into benign lesions mimicking endodontic periapical lesions (BLMEPL), malignant lesions mimicking endodontic periapical lesions (MLMEPL) and Stafne's bone cavity group (SBCG). The clinical presentations were divided into: lesions with swelling without pain, lesions with swelling and pain and finally lesions without swelling, but presenting with pain. Results: The results demonstrated that 66% (37/56) cases represented benign lesions, 29% (16/56) malignant lesions, and 5% (3/56) Stafne's bone cavity. The most commonly reported BLMEPL were ameloblastoma (21%), followed by nasopalatine duct cyst (13.5%). The most frequently cited MLMEPL were metastatic injuries (31.5%), followed by carcinomas (25%). The main clinical presentation of BLMEPL was pain, whereas that of MLMEPL was swelling associated with pain, and SBCG displayed particular clinical findings. Conclusions: Clinical and radiological aspects, as well as the analysis of the patient's medical history, pulp vitality tests and aspiration are essential tools for developing a correct diagnosis of periapical lesions with endodontic source. However, if the instruments mentioned above indicate a lesion of nonendodontic origin, the biopsy and subsequent histopathological analysis is mandatory.
MEMBROS DA BANCA:
Interno - 3301328 - FLAVIA SIROTHEAU CORREA PONTES
Presidente - 1258980 - HELDER ANTONIO REBELO PONTES
Externo à Instituição - NICOLAU CONTE NETO