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ORAL REPERCUSSIONS AND DENTAL MANAGEMENT OF YOUNG NASOANGIOFIBROMA TREATMENT: A CASE REPORT

2022; Elsevier BV; Volume: 134; Issue: 3 Linguagem: Inglês

10.1016/j.oooo.2022.01.145

2212-4411

Bianca Silva De Andrade Melo, Lísia Daltro Borges Alves, Ana Carolina Dos Santos Menezes, Luciana Ferreira Stahel-Lage, Mônica Eliana Ribeiro Matos, Héliton Spíndola Antunes,

Tumors and Oncological Cases

This study aims to report a case of juvenile nasoangiofibroma with oral repercussions highlighting dental management. The patient is a 12-year-old boy who had a 10-day epistaxis episode. Computed tomography and magnetic resonance angiography suggested nasoangiofibroma. Embolization and surgical excision with frozen section biopsy were performed, which confirmed the diagnosis. After surgery, he developed necrosis of the palate mucosa and maxillary buccal marginal gingival and dental mobility grade III (teeth 13-23). The dentistry team instructed oral care, proceeding vestibular splinting with orthodontic wire, and made a provisional palatal prosthesis. After 2 years of constant follow-up, teeth are still splinting with mobility grade I, some of them with a positive response to pulp sensitivity test, despite the computed tomography showing areas of vertical bone loss. Dental management was essential to the maintenance of the involved teeth, improving the patient's phonation, deglutition, quality of life, and social reintegration.