RESUMO
This report describes the case of a male aged 28 years who presented with a chief complaint of discomfort and swelling in the mandibular right molar area. An incisional biopsy was performed with a preliminary differential diagnosis of periodontal abscess, fibrotic lesion, or odontogenic tumor. Subsequent excision of the lesion was performed and histologic analysis confirmed the diagnosis of myofibroma.
Assuntos
Neoplasias Mandibulares/diagnóstico , Miofibroma/diagnóstico , Adulto , Diagnóstico Diferencial , Humanos , Masculino , Neoplasias Mandibulares/patologia , Neoplasias Mandibulares/cirurgia , Mucosa Bucal/patologia , Miofibroma/patologia , Miofibroma/cirurgia , Tumores Odontogênicos/diagnóstico , Abscesso Periodontal/diagnósticoRESUMO
Cemental separations and tears are secondary etiological factors that may lead to rapid periodontal destruction if the lesion communicates with the oral cavity and allows bacterial invasion. Although many cemental tears that occur on proximal surfaces can be diagnosed radiographically, separations on the facial or lingual surface that cannot be detected on radiographs may present a diagnostic dilemma. This article describes a case of lingual cemental separation on a maxillary incisor, with subsequent successful surgical correction utilizing an osseous graft.