Diagnóstico e tratamento de hiperplasia fibroepitelial em paciente diabético com periodontite: relato de caso

Resumo (EN)

Objective – To report diagnosis and treatment of fibroepithelial hyperplasia in the upper right anterior region in diabetic patient diagnosed with periodontitis. Methods – Male patient, 65 years old, reported during anamnesis that he had compensated type 2 diabetes, controlled hypertension and was suffering from arthritis. Dental element 12 presented complete exposure of the buccal root surface and apex irregularities, which traumatized the soft tissue around it and reactive hyperplastic lesion was present. The patient was diagnosed with Grade B, Stage IV generalized Periodontitis. His treatment consisted of guidance and motivation for oral hygiene, prophylaxis, periodontal instrumentation, extraction and excisional biopsy to remove the reactive hyperplastic lesion and characterize it through pathological examination. The crown of dental element 12 was separated from the root and joined to neighboring teeth to maintain the aesthetics of the region. Results – Anatomical pathological examination associated with the clinical and radiographic characteristics of the lesion confirmed the diagnosis of fibroepithelial hyperplasia. After 180 days, there was no recurrence of the lesion, periodontal health was restored, and the patient was satisfied so far with the way the treatment was conducted and started prosthetic rehabilitation. Conclusion – Adequate diagnosis and treatment integrating different specialties reestablished patient's oral health. Diagnosis of fibroepithelial hyperplasia occurred through the association of clinical and radiographic characteristics and pathological anatomical examination. The favorable prognosis for this lesion was associated with treatment by its complete removal, elimination of the local traumatic factor, associated with the reestablishment and maintenance of periodontal health.