Santin Gabriela Cristina, Guimarães Késsia Suênia Fidelis de Mesquita, de Oliveira Sara Silva, da Silva Raquel Assed Bezerra, Nelson-Filho Paulo, Palma-Dibb Regina Guenka, de Queiroz Alexandra Mussolino
Department of Dentistry, State University of Maringá, Paraná, Brazil.
Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil.
Contemp Clin Dent. 2017 Jan-Mar;8(1):185-187. doi: 10.4103/ccd.ccd_1007_16.
Hemangioma is a benign vascular tumor that affects 3%-10% of the population and usually does not require specific treatment due to spontaneous regression. The purpose of this paper is to present a case report of a child having been born prematurely and diagnosed with hemangioma in the head and neck, emphasizing the dentofacial changes and treatment used to provide care. Severe fibrous scars were found in the perioral region and below the ear that limited the patient's ability to open her mouth. The child exhibited anterior open bite as well as dental caries in the lower jaw, hypomineralization, and enamel hypoplasia. Treatment consisted of dietary and oral hygiene orientations, dental prophylaxis, topical 1:23% acidulated phosphate fluoride gel, removal of the carious tissue, sealing with glass ionomer cement, and extraction. Dentists need to have knowledge on hemangioma for a proper diagnosis and the optimization of dental treatment.
血管瘤是一种良性血管肿瘤，影响3%至10%的人口，由于其可自发消退，通常不需要特殊治疗。本文旨在介绍一例早产并被诊断为头颈部血管瘤的儿童病例报告，重点强调牙颌面变化及所采用的治疗护理方法。在口周区域和耳部下方发现严重的纤维瘢痕，限制了患者张口能力。该儿童表现为前牙开颌以及下颌龋齿、矿化不足和釉质发育不全。治疗包括饮食和口腔卫生指导、牙齿预防、局部应用1:23%的酸性磷酸氟凝胶、龋坏组织去除、玻璃离子水门汀封闭以及拔牙。牙医需要了解血管瘤知识，以便进行正确诊断和优化牙科治疗。
