Modified Approach to Central Giant Cell Lesion

The Journal of Clinical Pediatric Dentistry
Lucas Borin MouraMarcos Antônio Torriani

Abstract

This case report discusses a modified technique for treatment of a central giant cell lesion (CGCL) in children, where a recontouring procedure is performed prior to the treatment with intra lesional corticosteroid. We discuss the advantages of this less invasive technique, specially considering the early age of the patient and its bone growth, as well as the conservative approach for lesions in those cases. The treatment of an 8-year-old female patient exhibiting CGCL in anterior region of mandible with bone expansion is described. The procedure was performed using blade #15 and rongeur forceps, in order to obtain an adequate jaw contour. Two weeks later, drug treatment started with triamcinolone 10mg/ml diluted in 0.5% bupivacaine without vasoconstrictor agent, 1:1 ratio, for eight sessions. There were no complications in surgery and postoperative period. In 3-year follow-up, anatomical preservation is present with no signs of recurrence.

References

Feb 28, 2002·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Roman Carlos, Heddie O Sedano
Aug 3, 2010·International Journal of Oral and Maxillofacial Surgery·R L M NogueiraS H B Rabenhosrt
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Jun 10, 2014·Nigerian Journal of Clinical Practice·Emir YuzbasiogluMehmet Bayram

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Citations

Mar 18, 2020·Journal of International Society of Preventive & Community Dentistry·Komal SmritiManish Bhagania

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