Raj Subash Chandra, Mishra Asit Kumar, Tabassum Shaheda, Baral Debajani
Department of Periodontics, SCB Dental College and Hospital, Cuttack, Odisha, India.
J Indian Soc Periodontol. 2024 Jan-Feb;28(1):138-142. doi: 10.4103/jisp.jisp_197_23. Epub 2024 Jun 4.
The aim of this case report is to present a unique and rare finding in a 29-year-old male with the chief complaint of swelling in the gums related to the back teeth of the lower left jaw, since 20 days. In the absence of any alarming findings on the intraoral periapical radiograph and blood profile, an excisional biopsy of the provisionally diagnosed pyogenic granuloma was planned with a high-power diode LASER (Light Amplification by Stimulated Emission of Radiation). Following the excision, an unusual amount of bleeding was encountered from a single point on the buccal cortical plate between the teeth #35 and #36. On reevaluating the left face with advanced radiodiagnostic methods, an accessory buccal foramen was reported distal to #35 which housed a thin, tortuous, and aberrant branch of the inferior alveolar artery. The swelling was histopathologically diagnosed as lobular capillary hemangioma, and the aberrant artery was labeled as its feeder vessel. The patient had no episode of recurrence until 2 years of follow-up.
本病例报告旨在呈现一名29岁男性的独特罕见发现，该患者自20天前以来，主要抱怨左下后牙牙龈肿胀。鉴于口腔根尖片和血常规检查未发现任何异常，计划使用高功率二极管激光（受激辐射光放大）对初步诊断为化脓性肉芽肿的病变进行切除活检。切除后，在35号和36号牙之间的颊侧皮质板上的一个单点出现了异常大量的出血。使用先进的放射诊断方法对左侧面部进行重新评估后，报告在35号牙远中有一个副颊孔，其中容纳了一条细小、迂曲且异常的下牙槽动脉分支。组织病理学诊断肿胀为小叶性毛细血管瘤，异常动脉被标记为其供血血管。在长达2年的随访中，患者未出现复发情况。
