1.Squamous cell carcinoma from oral lichen planus: a case report of a lesion with 28 years of evolution.
Wanessa da Silva SILVEIRA ; Ezequiel Gregolin BOTTEZINI ; Maria Salete LINDEN ; Isadora RINALDI ; Luiz Renato PARANHOS ; João Paulo de CARLI ; Micheline TRENTIN ; Pâmela Letícia dos SANTOS
Journal of the Korean Association of Oral and Maxillofacial Surgeons 2017;43(Suppl 1):S14-S18
Lichen planus (LP) is a relatively common mucocutaneous disease with autoimmune etiology. Considering its malignancy potential, it is important to define the correct diagnosis, treatment, and clinical follow-up for patients with LP so that the disease is not diagnosed late, thus hindering the chances of curing the disease. This study aims to describe a clinical case of oral squamous cell carcinoma, potentially originated from LP. The patient is undergoing clinical and histopathological follow-up. A 64-year-old Caucasian male patient presented with a proliferative verrucous lesion on the tongue and sought treatment at the School of Dentistry, University of Passo Fundo (UPF), Passo Fundo, Brazil. He claimed the lesion had been present since 1988, and had been initially diagnoses as “oral lichen planus.” The physical exam presented three diagnostic hypotheses: plaque-like oral LP, verrucous carcinoma, and squamous cell carcinoma. After incisional biopsy and histopathological analysis, squamous cell carcinoma was diagnosed, probably originating from oral LP. The case study shows that malignancy from oral LP is possible, which justifies periodic clinical and histopathological follow-up, as well as the elimination of risk factors for carcinoma in patients with oral LP.
Biopsy
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Brazil
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Carcinoma, Squamous Cell*
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Carcinoma, Verrucous
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Dentistry
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Diagnosis
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Epithelial Cells*
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Follow-Up Studies
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Humans
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Lichen Planus
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Lichen Planus, Oral*
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Lichens
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Male
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Middle Aged
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Mouth Neoplasms
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Risk Factors
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Tongue
2.Evaluation of bone substitutes for treatment of peri-implant bone defects: biomechanical, histological, and immunohistochemical analyses in the rabbit tibia.
Pâmela Letícia DOS SANTOS ; Rafael Scaf DE MOLON ; Thallita Pereira QUEIROZ ; Roberta OKAMOTO ; Ana Paula DE SOUZA FALONI ; Jéssica Lemos GULINELLI ; Eloá Rodrigues LUVIZUTO ; Idelmo Rangel GARCIA
Journal of Periodontal & Implant Science 2016;46(3):176-196
PURPOSE: We sought to evaluate the effectiveness of bone substitutes in circumferential peri-implant defects created in the rabbit tibia. METHODS: Thirty rabbits received 45 implants in their left and right tibia. A circumferential bone defect (6.1 mm in diameter/4 mm depth) was created in each rabbit tibia using a trephine bur. A dental implant (4.1 mm × 8.5 mm) was installed after the creation of the defect, providing a 2-mm gap. The bone defect gaps between the implant and the bone were randomly filled according to the following groups: blood clot (CO), particulate Bio-Oss® (BI), and Bio-Oss® Collagen (BC). Ten animals were euthanized after periods of 15, 30, and 60 days. Biomechanical analysis by means of the removal torque of the implants, as well as histologic and immunohistochemical analyses for protein expression of osteocalcin (OC), Runx2, OPG, RANKL, and TRAP were evaluated. RESULTS: For biomechanics, BC showed a better biological response (61.00±15.28 Ncm) than CO (31.60±14.38 Ncm) at 30 days. Immunohistochemical analysis showed significantly different OC expression in CO and BC at 15 days, and also between the CO and BI groups, and between the CO and BC groups at 60 days. After 15 days, Runx2 expression was significantly different in the BI group compared to the CO and BC groups. RANKL expression was significantly different in the BI and CO groups and between the BI and BC groups at 15 days, and also between the BI and CO groups at 60 days. OPG expression was significantly higher at 60 days postoperatively in the BI group than the CO group. CONCLUSIONS: Collectively, our data indicate that, compared to CO and BI, BC offered better bone healing, which was characterized by greater RUNX2, OC, and OPG immunolabeling, and required greater reversal torque for implant removal. Indeed, along with BI, BC presents promising biomechanical and biological properties supporting its possible use in osteoconductive grafts for filling peri-implant gaps.
Animals
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Bone Substitutes*
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Bone Transplantation
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Collagen
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Dental Implantation
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Dental Implants
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Osseointegration
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Osteocalcin
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Rabbits
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Tibia*
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Torque
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Transplants