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Published on: May 21, 2015
Concomitant endogenous and exogenous etiology for gingival pigmentation.
Beatriz Zamboni Martins Panucci, Tulio Morandin Ferrisse, Andreia Bufalino
1Oral Pathology, Department of Stomatology, Public Oral Health, and Forensic Dentistry, Ribeira~o Preto Dental School (FORP/USP), University of Sa~o Paulo, Riberão Preto, Sa~o Paulo, Brazil. jleon@forp.usp.br.
This study presents a unique case of gingival pigmentation exhibiting characteristics of both oral melanotic macule (OMM) and amalgam tattoo (AT). This finding highlights the importance of considering differential diagnoses for oral pigmented lesions.
Area of Science:
- Oral pathology
- Dermatology
- Dental medicine
Background:
- Oral pigmented lesions encompass a range of conditions, including physiological and pathological types.
- Oral melanotic macule (OMM) presents as a small, defined brown-to-black macule, typically on the lip or gingiva.
- Amalgam tattoo (AT) appears as grey or black discoloration due to dental amalgam particles in oral soft tissues, often on the gingiva.
Observation:
- A patient presented with gingival pigmentation.
- The observed pigmentation displayed features consistent with both OMM and AT simultaneously in the same location.
Findings:
- The case demonstrates a rare instance where OMM and AT coexist.
- Histopathological examination would be crucial for definitive diagnosis.
Implications:
- This case underscores the need for thorough differential diagnosis in evaluating oral pigmented lesions.
- Accurate diagnosis is essential for appropriate patient management and treatment planning.
- Further research may elucidate the etiological factors contributing to such combined presentations.
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