Department of Paediatric Dentistry, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Catalonia, Spain.
Department of Odontostomatology, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Catalonia, Spain.
BMJ Case Rep. 2022 Mar 16;15(3):e249369. doi: 10.1136/bcr-2022-249369.
We report the case of a 3-year-old girl referred to our hospital dentistry service, from a public health centre, due to a 4-week-old swelling in the area of the hard palate, causing displacement of the deciduous tooth and the appearance of an interincisal diastema. The clinical characteristics suggested the possibility of a reactive fibroma and we decided to intervene surgically by means of an excisional biopsy. Histology confirmed the presumptive diagnosis. Prompt referral and early surgical care spontaneously favoured both repositioning of the displaced primary tooth and closure of the diastema. This is an infrequent lesion in paediatric patients.
我们报告了一例 3 岁女童的病例，她因硬腭区出现 4 周的肿胀而被转诊至我们医院的牙科服务中心，该肿胀导致乳牙移位并出现切牙间隙。临床特征提示可能为反应性纤维瘤，因此我们决定通过切除活检进行手术干预。组织学检查证实了初步诊断。及时转诊和早期手术治疗有助于乳牙的复位和切牙间隙的关闭。这是一种在儿科患者中较为罕见的病变。
