OOOO Volume 129, Number 1 and endemic disease. Despite the primary pulmonary disease, the oral mucosa is frequently affected. In this way, the dentist has a fundamental role in the identification and diagnosis of these lesions.
CLEFT LIP AND PALATE BILATERAL ASSOCIATED WITH MICROPHTHALMIA AND NYSTAGMUS: CLINICAL CASE REPORT. LUIZA MADALENA MENDES DA VERA CRUZ, CRISLYNE MENDES DA VERA CRUZ, BIANCA PANTOJA CAMPOS, ERIKA CLARISSA PANTOJA SOUSA, VANESSA SANTOS RODRIGUES CANUTO, ADRIANI DIAS FERNANDES and, ANA LUIZA SARMENTO DOS SANTOS The cleft lip and palate is a common craniofacial congenital malformation that can affect the human face caused by the lack of fusion of the palate during the intrauterine period, may be isolated or associated with other syndromes and anomalies, has an isolated clinical presentation, and has a multifactorial etiology. This article reports a clinical case of a pediatric patient with bilateral cleft palate associated with ocular abnormalities of microphthalmia and nystagmus. Laboratory and imaging examinations were used as well as the appropriate conduits for subsequent surgical interventions, respecting the general preoperative principles, to avoid possible complications and promote aesthetic, psychological, and functional reintegration. It was concluded that an early diagnosis with adequate multidisciplinary assistance to the patient and the family enables correction of the malformations, directly affecting the psychosocial dimension, giving quality of life and an excellent prognosis.
ORAL KAPOSI SARCOMA: A CASE REPORT. ISRAEL LEAL CAVALCANTE, CAIO CESAR DA SILVA BARROS, FRANCISCO SENA DE e ^ GO JUNIOR, FREITAS RE ALICIA RUMAYOR PINA, OSLEI PAES DE ALMEIDA, ROBERTA BARROSO CAVALCANTE and, EVELINE TURATTI Kaposi sarcoma (KS) is an uncommon angioproliferative endothelial neoplasm. The pathogenesis of KS is likely multifactorial, but the infection of the cells with the human herpesvirus 8 (HHV-8) and HIV infection represents a consistent etiologic factor. We report a case of KS associated with HIV infection. A 34year-old male patient showed an asymptomatic nodular lesion on the anterior vestibular gingiva of the maxilla with purple color and slow evolution. The diagnostic hypothesis was of pyogenic granuloma. Excisional biopsy was performed, and results revealed the presence of fascicles of spindle cells and slit-like vascular spaces, which frequently contained erythrocytes. The immunohistochemical analysis showed positivity for the viral antigens of HHV-8. Thus, the histopathologic diagnosis of KS was established. After the final diagnosis, laboratory tests were performed, which revealed HIV infection. The patient died after 3 months of severe immunosuppression and pneumonia.
MULTICYSTIC AMELOBLASTOMA IN THE MANDIBULAR REGION: RESSECTION AND RECONSTRUCTION OF TEMPOROMANDIBULAR JOINT WITH PROSTHESIS. VINICIUS CESAR BARBOSA DE MENEZES, ANDRE HENRIQUE ALMEIDA E SILVA, ALEXSANDER RIBEIRO PEDROSA and, FABRICIO REZENDE DO AMARAL
ABSTRACTS
e113
Ameloblastoma is an odontogenic tumor (benign neoplasia), with no predilection for sex, affecting adults in the third and seventh decade, which may present through bone expansion and resorption, root resorption, and aesthetic and functional damages. In some cases, where it presents great proportions, reconstruction of bone with prostheses is necessary after removal. The objective of this report is to present a case of multicystic ameloblastoma in a 30-year-old female patient with melanoderma with an increase in the lower third of the right face. The intraoral examination found right mandibular dental crowding and increased volume in the right mandible region. The tomographic examination showed a suggestive image of multilocular hypodense areas in the region of body, angle, and right mandibular ramus. The patient was referred to the service of maxillofacial surgery for tumor resection and total reconstruction of the region with total prosthesis of the temporomandibular joint.
ORAL MANIFESTATION OF PSORIASIS: CASE REPORT. VINICIUS CESAR BARBOSA DE MENEZES, TARCILIA APARECIDA DA SILVA, RICARDO ALVES DE MESQUITA, WAGNER HENRIQUES DE CASTRO and, FELIPE PAIVA FONSECA Psoriasis is a chronic dermatologic autoimmune disorder affecting both sexes with predominance in the third decade, presenting in different forms such as reverse, pustular, and vulgar psoriasis. The occurrence of oral lesions is uncommon and is the subject of controversy. Some oral lesions are seen in pustular psoriasis, manifesting as a geographic tongue and geographic stomatitis, and it is proposed that the diagnosis of oral psoriasis should be made when the clinical course of these lesions runs parallel to that of the skin, supported by histologic examination. The purpose of this report is to present a case of oral manifestation of psoriasis in a 77-year-old black man with a positive medical history for psoriasis and extensive whitish plaque-like lesions on the upper and lower limbs. The intraoral examination revealed diffuse ulcerated lesions in the oral mucosa and the presence of a geographic tongue. The patient was referred to the dermatology service and is being followed up to control the oral lesions. SUPPORT: FAPEMIG
GASTROESOPHAGEAL REFLUX DISEASE IN THE ORAL CAVITY: 3 CASE REPORTS. PAULA SANTOS FERREIRA, MARIEL RUIVO BIANCARDI, MARIA LETICIA LANCA, ¸ AUDREY FOSTER LEFORT ROCHA, TULIO MORANDIN FERRISSE and, ANDREIA BUFALINO Gastroesophageal reflux disease (GERD) is a digestive disorder in which the acids present inside the stomach return through the esophagus following the path opposite of the normal flow of digestion. This movement damages the tissues lining the esophagus and oral cavity causing symptoms of GERD. We describe 2 cases of dental erosion and 1 case of erythematous lesions in the oral cavity associated with GERD. Case 1 involves a 33-year-old male patient diagnosed as having GERD who presents intense dental erosion in several teeth. Case 2 involves a 25-year-old male patient who complains of his teeth with a degraded structure due to reflux. Case 3 involves a 39-year-old female patient under treatment of GERD who complains about erythematous areas on the oral mucosa and of tongue burning. Usually, GERD patients report oral manifestations of the disease, revealing the importance of multidisciplinary treatment and follow-up of these patients.