Campos-de Sales Sarah, Kato Camila-Nazaré-Alves-de Oliveira, de Noronha Mariana-Saturnino, Castro Wagner-Henriques, Mesquita Ricardo-Alves
DDS, Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal of Minas Gerais, Belo Horizonte, Brasil.
DDS, Msc student, Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal of Minas Gerais, Belo Horizonte, Brasil.
J Clin Exp Dent. 2018 Feb 1;10(2):e192-e195. doi: 10.4317/jced.53893. eCollection 2018 Feb.
Varices are benign blood vessel lesions that are common in the head and neck regions. The aim of this case report is to highlight an uncommon case of gingival varices and its diagnosis and management. This is the second time that a case of varices has been reported at this site. Monoethanolamine oleate (MO) at a 2.5% concentration was used as the treatment. A 66-year-old woman presented spontaneous gingival bleeding in the region of the mandibular first and second left molars. A macula and gingival enlargement on the interproximal papillae were observed. No bleeding was observed during the oral examination. The clinical diagnosis was varices. The patient was given two sessions of sclerotherapy with 2.5% MO applied to the lesion, with 15 days between applications. The lesion showed total clinical resolution, and the patient is in follow-up. This paper reports a rare case of varices in the gingival mandible, with the diagnosis based on the patient's age, time evolution of the lesion's, and its clinical characteristics. The concentration of 2.5% MO is safe and efficient, a conservative treatment, and easy to apply.
静脉曲张是一种良性血管病变，常见于头颈部区域。本病例报告的目的是强调一例罕见的牙龈静脉曲张病例及其诊断和治疗。这是该部位第二次报告静脉曲张病例。使用浓度为2.5%的油酸单乙醇胺（MO）进行治疗。一名66岁女性在下颌左侧第一和第二磨牙区域出现自发性牙龈出血。观察到近中乳头处有黄斑和牙龈肿大。口腔检查时未观察到出血。临床诊断为静脉曲张。对该患者进行了两次硬化治疗，将2.5%的MO应用于病变部位，两次治疗间隔15天。病变显示完全临床消退，患者正在接受随访。本文报告了一例罕见的下颌牙龈静脉曲张病例，其诊断基于患者年龄、病变的时间演变及其临床特征。2.5%的MO浓度安全有效，是一种保守治疗方法，且易于应用。
