Mucocele in Early Childhood from Diagnosis to Treatment: a Case Report
DOI:
https://doi.org/10.21270/archi.v12i5.5790Keywords:
Mucocele, Pediatric Dentistry, TechniquesAbstract
Introduction: Mucocele is a retention phenomenon of the minor salivary gland, caused by rupture of the excretory ducts. Clinically they are nodular lesions and may be exophytic and pedunculated. Objectives: Report a clinical case of mucocele in a pediatric patient, and to demonstrate the clinical and surgical management of the lesion. Report Case: A female patient, 6 years old, attended the Pediatric Dentistry Clinic of the University of Ribeirão Preto-UNAERP, with a history of biting and appearance of a "swelling and deflating ball" on the lower lip, for about 30 days, after biting the lip. The intraoral clinical examination revealed a nodular, exophytic lesion, pinkish in color, flaccid to palpation, painless and with a diameter of approximately 2 cm, receiving a differential diagnosis of mucocele. The treatment plan instituted was exeresis of the lesion, followed by histopathological analysis for definitive diagnosis. The child's first contact with the dental environment, the talk-show-do conditioning technique was chosen. After seven days the lesion excised under local anesthesia, and the surgical specimen was sent for histopathological evaluation, which confirmed that it was a mucocele. After 7 days the suture was removed and the mucosa healed well; at 15 days the clinical aspect of the tissue was normal. Conclusion: Surgical removal of the mucocele lesion is a safe treatment that prevents recurrence of the lesion and remains the most used, and it has been shown to be a simple, safe method with a good prognosis.
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