Vol. 117 No. 2 February 2014 Abstracts of the XXI Brazilian Congress of Oral Medicine and Oral Pathology ORAL PRESENTATIONS GERMANO, MÁRCIA CRISTINA DA COSTA MIGUEL, ÉRICKA JANINE DANTAS DA SILVEIRA. UNIVERSIDADE AO-01 - MAXILLARY OSTEOSARCOMA INITIALLY FEDERAL DO RIO GRANDE DO NORTE. RESEMBLING PERIAPEX DENTAL INJURY: CLINICAL Renal osteodystrophy represents the musculoskeletal mani- CASE REPORT. JOANA DOURADO MARTINS, JARIELLE festations resulting from metabolic abnormalities in patients with OLIVEIRA MASCARENHAS ANDRADE, JULIANA ARAUJO chronic renal failure (CRF). Woman, 23, reported a hard, asymp- LIMA DA SILVA, ALESSANDRA LAIS PINHO VALENTE, tomatic, expansive mass present for 4 years on the right side of the MÁRCIO CAMPOS OLIVEIRA, MICHELLE MIRANDA face that was causing airway compromise and facial disfigurement. LOPES FALCÃO, VALÉRIA SOUZA FREITAS. UNI- Her history included idiopathic CRF, and she had been receiving VERSIDADE ESTADUAL DE FEIRA DE SANTANA. hemodialysis for 10 years. During this period she developed sec- Maxillary osteosarcoma is a rare and aggressive bone tumor ondary hyperparathyroidism that was managed with total para- that can initially resemble a periapical lesion. Man, 42, came to the thyroidectomy. Computed tomography revealed marked osseous Oral Lesions Reference Center at UEFS complaining of “tooth expansion on the right side of the maxilla and discrete expansion numbness and swollen gums” and loss of sensation in the anterior on the right side of mandible and cranial base. The clinical diag- teeth. His history included previous endodontic emergency treat- nosis was brown tumor. Incisional biopsy led to a diagnosis of ment of units 1.1 and 2.1. The extraoral examination demonstrated renal osteodystrophy. After laboratory analysis and hemodynamic anterior swelling. The intraoral examination revealed an exophytic, preparation she underwent partial resection of the lesion and irregular erythematous lesion with necrotic foci in the region of the osteoplasty under general anesthesia. One month after the surgical upper central incisors. The patient underwent exploratory puncture procedure, her serum parathyroid hormone levels remain normal. biopsy; the results of fluid and histopathological investigation were AO-04 - ANTIMICROBIAL PHOTODYNAMIC THER- negative, suggesting the diagnosis of telangiectatic osteosarcoma. The patient was referred for treatment at a Referral Oncology APY: A NEW APPROACH FOR ORAL CANDIDIASIS? Hospital and then close follow-up. The reported case highlights the KARLA BIANCA FERNANDES DA COSTA FONTES, importance of careful evaluation and follow-up of periapical le- BARBARA FREIMANN VIEIRA, ADEMAR TAKAHAMA sions, since the early stages of malignant bone tumors such as os- JÚNIOR, REBECA DE SOUZA AZEVEDO, DANIELLE teosarcomas can mimic periapical disease. RESENDE CAMISASCA BARROSO, ELIANE PEDRA DIAS. UNIVERSIDADE FEDERAL FLUMINENSE, NOVA AO-02 - ADENOID CYSTIC CARCINOMA OF BUCCAL FRIBURGO UNIVERSITY POLE AND POSTGRADUATE MUCOSA. MARINA LARA DE CARLI, FERNANDA PROGRAM OF PATHOLOGY. RAFAELLY DE OLIVEIRA PEDREIRA, EDUARDO Antimicrobial photodynamic therapy (aPDT) is currently PEREIRA GUIMARÃES, PAOLA SINGI, ALESSANDRO recommended for the treatment of various bacterial, fungal, and ANTÔNIO COSTA PEREIRA, JOÃO ADOLFO COSTA viral infections. The efficacy of aPDT was shown in one patient HANEMANN. SCHOOL OF DENTISTRY, ALFENAS FED- with prosthetic stomatitis and oral candidiasis. White man, 50, ERAL UNIVERSITY. who had prosthetic stomatitis underwent scraping of the palate Adenoid cystic carcinoma is a malignant salivary tumor that mucosa. Cytopathological analysis showed infection by Candida may arise in either major or minor salivary glands. The peak inci- spp. The patient was treated with weekly methylene blue 0.01% dence is in the sixth decade of life with a slight female predilection. and irradiation with GaAlAs diode laser (660nm, 4 J, 142 J/cm2, Man, 56, was referred to the Stomatology Clinic of Unifal-MG for 100mW) on the entire palate. After six sessions, the patient evaluation of a firm, painful submucous swelling on the right buccal showed no prosthetic stomatitis; cytopathological examination mucosa. The patient reported that the lesion had been present for showed no candidiasis. aPDT appears to be an effective treatment about 18 months and he had recently experienced severe trismus. for oral candidiasis, but further studies with long-term clinical and Radiographic examination showed no significant abnormalities. An cytopathological follow-up are needed to assess its efficacy. incisional biopsy led to the diagnosis of adenoid cystic carcinoma. The patient underwent chemotherapy and radiotherapy that AO-05 - BASAL CELL ADENOMA AND CANALICULAR significantly improved the lesion. Adenoid cyst carcinoma can ADENOMA: REPORT OF CASES. GRAZIELE BEANES DA occur in any salivary gland site, but approximately 50% develop SILVA SANTOS, JEAN NUNES DOS SANTOS, FLÁVIA within the minor salivary glands. The palate is the most common CALÓ DE AQUINO XAVIER, LILIANE LINS, ANTÔNIO site for minor gland tumors, but this case demonstrates its occur- FERNANDO PEREIRA FALCÃO. UNIVERSIDADE FED- rence in the buccal mucosa. Financial Support: FAPEMIG ERAL DA BAHIA. Basal cell adenoma (BCA) and canalicular adenoma (CA) are AO-03 - AGGRESSIVE RENAL OSTEODYSTROPHY OF rare salivary gland tumors. The upper lip is the site most often THE MAXILLOFACIAL REGION IN A YOUNG ADULT involved for CA, whereas BCA arises most commonly in the WITH CHRONIC RENAL FAILURE: CASE REPORT. parotid gland. The differential diagnosis should be based on MARIA LUIZA DINIZ DE SOUSA LOPES, ASSIS FILIPE histopathological analysis of the lesions. Four cases of asymp- MEDEIROS ALBUQUERQUE, ADRIANO ROCHA tomatic nodules in the upper lip (two men and two women) were e121 ORAL AND MAXILLOFACIAL PATHOLOGY OOOO e122 Abstracts February 2014 reported. All patients were over age 40 years and underwent inflammation. White man, 33, had swelling of the lips and facial excisional biopsy. Two lesions were diagnosed as BCA and the asymmetry of 6 years’ duration. Intraoral examination found a others as CA. Literature review of the MEDLINE, LILACS, and painless enlargement of the lower and middle upper lip. Lesions SCIELO databases used the key words “basal cell adenoma,” resembling cobblestones were also noted on the buccal mucosa “canalicular adenoma,” and “monomorphic adenoma.” The site of bilaterally. Colonoscopy and hypersensitivity testing ruled out the occurrence of the BCA in the two cases reported was relatively diagnoses of Crohn disease and allergy, respectively. An inci- uncommon. The clinical and histopathological features of the sional biopsy was performed in the lower lip. Microscopic lesions were somewhat consistent with literature findings. assessment revealed noncaseating granulomatous inflammation, leading to a diagnosis of CG. Intralesional corticosteroids AO-06 - BILATERAL EAGLE SYNDROME: CASE REPORT. (triamcinolone 10 mg/mL) were administered, and the patient’s IGOR BRASIL VILLAR, BARBAHRA CAROLYNIE condition is being closely followed. AMORIM REIS, DANIEL DO CARMO CARVALHO, DIMITRE RAMOS GRANDEZ ARAÚJO, IGOR BRASIL AO-09 - DELAYED ADVERSE EFFECTS RELATED TO VILLAR, LUCIANO HENRIQUE DE JESUS, RICARDO HYALURONIC ACID DERMAL FILLER (RESTYLANE): FARIAS BRITO. FACULDADE CATHEDRAL. CLINICAL FINDINGS AND TREATMENT OF ORAL The bilateral eagle syndrome is characterized by an elonga- MANIFESTATION. MARCOS MARTINS CURI, DANIEL tion of the styloid process or mineralization of the ligamentous HENRIQUE KOGA, CRISTINA ZARDETTO, CAMILA complex. Its manifestation is usually bilateral, and symptoms may LOPES CARDOSO, SÉRGIO ROCHA ARAÚJO. HOSPI- or may not be present. Symptoms include facial pain of the un- TAL SANTA CATARINA, SÃO PAULO. derlying nerves and arteries close to the styloid process. Eagle Skin fillers are often used in facial cosmetic surgery. syndrome is more common in adults and may be related to trauma Although they are considered safe, adverse reactions may occur or tonsillectomy. A patient reported difficulty moving the neck but are rarely reported in the literature. Woman, 65, developed and facial pains on swallowing. Radiographic examination with oral lesions related to hyaluronic acid 12 years after receiving or without radiopaque contrast, medium showed bilateral miner- skin fillers. She complained of right buccal facial swelling after alization of the ligamentous complex of the mylohyoid. The recent oral surgery. Palpation revealed notable firmness over the proposed treatment was surgery via extraoral access. area that was diffuse, with no definitive outline. During follow- up, the patient developed two new painful nodules on the left AO-07 - CASE OF PERIPHERAL AMELOBLASTOMA IN A facial side. She revealed that she had had soft-tissue augmentation MIDDLE-AGED MALE. BIANCA FREO, NELISE in the past, confirming her previous aesthetic procedure. Samples ALEXANDRE DA SILVA LASCANE, THIAGO SALVADOR obtained through incisional biopsy were evaluated histologically, DE LIMA YAMADA, DÉCIO DOS SANTOS PINTO- revealing granulomatous allergic reactions associated with the use JÚNIOR, MARINA HELENA CURY GALLOTTINI, of hyaluronic acid. Treatment with local intralesional cortico- NORBERTO NOBUO SUGAYA, FÁBIO ABREU ALVES. therapy resulted in remission after 3 months. This is a rare case UNIVERSIDADE DE SÃO PAULO. of delayed adverse effect related to the use of the skin filler Ameloblastoma is one of the most frequent odontogenic Restylane. neoplasms but has