8-Year Follow-up of Central Giant Cell Lesion Mimicking Apical Periodontitis |
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Authors: | Artur Aburad de Carvalhosa Regina Maria Cristovan Zandonade de Souza Castro Cyntia Rodrigues de Araújo Estrela Álvaro Henrique Borges Carlos Estrela |
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Institution: | ∗ Department of Oral Sciences, University of Cuiabá, MT, Brazil;† Cancer Hospital, Cuiabá, Mato Grosso, Brazil;‡ Federal University of Goiás, Goiânia, Goiás, Brazil |
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Abstract: | IntroductionLesions of nonendodontic origin may mimic apical periodontitis. Central giant cell lesions (CGCLs) are aggressive or nonaggressive benign idiopathic intraosseous lesions of the jaw. This report describes a case of a CGCL in the periapical region of teeth #21–#26 of a 17-year-old female who sought orthodontic care because of a change in the position of tooth #23.MethodsClinical examination revealed mild facial asymmetry caused by increased volume in the mental region and cortical bone expansion but no cortical disruption. A panoramic radiograph showed a well-defined radiolucent osteolytic lesion involving teeth #21–#26. The cortical bone was not affected, and there was no root resorption. Incisional biopsy was performed, and the diagnosis was a CGCL. The lesion was enucleated surgically. CGCLs should be included in the differential diagnosis of jaw lesions that mimic apical periodontitis.ResultsThe patient subsequently underwent orthodontic treatment successfully.ConclusionsThe 8-year clinical and radiographic follow-up confirmed lesion remission, no recurrence, and pulp vitality of all teeth. |
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Keywords: | Apical periodontitis central giant cell lesion differential diagnosis periapical lesion |
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