Displasia fibrosa na odontologia: entendendo a doença e como agir
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Abstract
Objetivo: O objetivo do trabalho é relatar um caso de displasia fibrosa monostótica e apresentar achados bibliográficos importantes para o diagnóstico e conduta do cirurgião-dentista frente a esta doença. Caso clínico: A paciente de 28 anos compareceu ao consultório odontológico para avaliação de alteração percebida em boca, de crescimento lento, assintomática. Ao exame físico, apenas notou-se expansão rígida do rebordo póstero-superior esquerdo, por éticavestibular e lingual. A radiografia panorâmica revelou alteração do trabeculado em aspecto de vidro despolido. Realizada biópsia incisional confirmou-se o diagnóstico de displasia fibrosa. A revisão de literatura mostra que não é necessário tratamento em casos assintomáticos e sem desejo estético ou funcional. Dar o diagnóstico da displasia fibrosa é importante para o conhecimento do paciente sobre sua possível evolução e possíveis necessidades de tratamento. Conclusão: O cirurgião-dentista deve reconhecer e compreender essa doença para avaliar situações onde outros tratamentos são necessários e a possibilidade de realização de tratamento ortodôntico, implantodôntico, entre outros, diante a complexidade da doença.
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References
AKINTOYE, Sunday O.; BOYCE, Alison M.; COLLINS, Michael T. Dental perspectives in fibrous dysplasia and McCune–Albright syndrome. Oral surgery, oral medicine, oral pathology and oral radiology, v. 116, n. 3, p. e149-e155, 2013.
ANITHA N.; SANKARI, S.L.; MALATHI, L.; KARTHICK R. Fibrous dysplasia-recent concepts. Journal of pharmacy & bioallied sciences, v. 7, n. Suppl 1, p. S171, 2015.
BOYCE, A.M.; BURKE, A.; CUTLER PECK, C.; DUFRESNE, C. R.; LEE, J. S.; COLLINS, M. T. Surgical management of polyostotic craniofacial fibrous dysplasia: long-term outcomes and predictors for postoperative regrowth. Plastic and reconstructive surgery, v. 137, n. 6, p. 1833, 2016.
BURKE, A. B.; COLLINS, Michael T.; BOYCE, Alison M. Fibrous dysplasia of bone: craniofacial and dental implications. Oral diseases, v. 23, n. 6, p. 697-708, 2017.
CHEN, Yu-Ray; Wong, F. H.; Hsueh, C.; Lo, L.J. Computed tomography characteristics of non-syndromic craniofacial fibrous dysplasia. Chang Gung medical journal, v. 25, n. 1, p. 1-8, 2002.
CORSI, Alessandro; COLLINS, M. T.; RIMINUCCI, M.; HOWELL, P. G. T.; BOYDE, A.; GEHRON ROBEY, P.; et al. Osteomalacic and hyperparathyroid changes in fibrous dysplasia of bone: core biopsy studies and clinical correlations. Journal of Bone and Mineral Research, v. 18, n. 7, p. 1235-1246, 2003.
DAVIDOVA, L. A.; BHATTACHARYYA, I.; ISLAM, M. N.; COHEN, D. M.; FITZPATRICK, S. G. An Analysis of Clinical and Histopathologic Features of Fibrous Dysplasia of the Jaws: A Series of 40 Cases and Review of Literature. Head and Neck Pathology, p. 1-9, 2019.
EI-MOFTY, S. K; NELSON, B; TOYOSAWA, S. Fibrous displasia. In: EL-NAGAR et al. WHO Classification of Head and Neck Tumours. 4ª Edição. Lyon: lnternational Agency for Research on Cancer, 2017.
HOCAOGLU, Elif; YIRGIN, I. K.; AKSOY, S.; ARSLAN, G.; INCI, E.; CIMILLI, T. Computed tomography imaging findings of craniofacial fibrous dysplasia. Journal of Craniofacial Surgery, v. 25, n. 4, p. 1175-1177, 2014.
IPPOLITO, Ernesto; FARSETTI, P.; BOYCE, A. M.; CORSI, A.; DE MAIO, F.; COLLINS, M. T. et al. Radiographic classification of coronal plane femoral deformities in polyostotic fibrous dysplasia. Clinical Orthopaedics and Related Research®, v. 472, n. 5, p. 1558-1567, 2014.
ISOBE, Yu; TAKAHASHI, K.; KISO, H.; NAKAO, K.; IKENO, M.; KOYAMA, N.; et al. Direct evidence for the age-dependent demise of GNAS-mutated cells in oral fibrous dysplasia. Archives of oral biology, v. 93, p. 133-140, 2018.
JANISZEWSKA-OLSZOWSKA, Joanna; JAROWICZ, J.; SYRYŃSKA, M.; WEDRYCHOWSKA-SZULC, B.; et al. Orthodontic treatment of a patient with severe class II malocclusion, bony fibrous dysplasia, root resorptions, and missing four premolars. In: Annales Academiae Medicae Stetinensis. 2009. p. 71-76.
LEE, J. S.; FITZGIBBON, E. J.; CHEN, Y. R.; KIM, H. J.; LUSTIG, L. R.; AKINTOYE, S. O.; COLLINS, M. T.; KABAN, L. B.; et al. Clinical guidelines for the management of craniofacial fibrous dysplasia. In: Orphanet journal of rare diseases. BioMed Central, 2012. p. S2.
MACHADO, R. A.; PONTES, H.; PIRES, F.; SILVEIRA, H.; BUFALINO, A.; CARLOS, R.; et al. Clinical and genetic analysis of patients with cherubism. Oral Diseases, v. 23, n. 8, p. 1109-1115, 2017.
MAJOOR, Bas CJ; ANDELA, C. D.; BRUGGEMANN, J.; et al. Determinants of impaired quality of life in patients with fibrous dysplasia. Orphanet journal of rare diseases, v. 12, n. 1, p. 80, 2017.
MARKOV, Peter; SYED, A. Z.; MARKOVA, C.; MENDES, R. A.; et al. Maxillofacial fibrous dysplasia: a diagnostic challenge. Case Reports, v. 2016, 2016.
MENON, Suresh; Venkatswamy, S.; Ramu, V.; Banu, K.; Ehtaih, S.; Kashyap, V. M.; et al. Craniofacial fibrous dysplasia: Surgery and literature review. Annals of maxillofacial surgery, v. 3, n. 1, p. 66, 2013.
NETTO, Juliana de Noronha Santos; MACHADO CERRI, J.; MIRANDA, Á. M. M. A.; PIRES, F. R. Benign fibro-osseous lesions: clinicopathologic features from 143 cases diagnosed in an oral diagnosis setting. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, v. 115, n. 5, p. e56-e65, 2013.
RIDDLE, Nicole D.; BUI, Marilyn M. Fibrous dysplasia. Archives of pathology & laboratory medicine, v. 137, n. 1, p. 134-138, 2013.
ROBINSON, Cemre; COLLINS, Michael T.; BOYCE, Alison M. Fibrous dysplasia/McCune-Albright syndrome: clinical and translational perspectives. Current osteoporosis reports, v. 14, n. 5, p. 178-186, 2016.
SANTOS, L. A. N. Estudo dos aspectos radiográficos e cintilográficos da displasia fibrosa [Tese] (Doutorado). São Paulo: Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba, 2011.
TOYOSAWA, Satoru; YUKI, M.; KISHINO, M.; OGAWA, Y.; UEDA, T.; MURAKAMI, S.; et al. Ossifying fibroma vs fibrous dysplasia of the jaw: molecular and immunological characterization. Modern Pathology, v. 20, n. 3, p. 389-396, 2007.
ZHAO, Xuefeng; IGLESIAS-BARTOLOME, R.; AMORNPHIMOLTHAM, P.; STEFFEN, D. J.; JIN, Y.; et al. et al. Expression of an active Gαs mutant in skeletal stem cells is sufficient and necessary for fibrous dysplasia initiation and maintenance. Proceedings of the National Academy of Sciences, v. 115, n. 3, p. E428-E437, 2018.