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Postanestezik Palatal Ülserasyonunun Otofloresan Görüntüleme Yöntemi ile Değerlendirilmesi: Bir Olgu Sunumu ve Kısa Bir Literatür Taraması

Year 2024, Volume: 8 Issue: 1, 36 - 40, 30.04.2024

Abstract

Diş hekimliğinde lokal anestezi uygulamaları yaygın ve güvenilir uygulamalardır. Ancak palatinal mukozanın sıkı ve yoğun yapısı nedeniyle anestezi sonrası bazen ülserasyon, nekroz ve mukoza dökülmesi gibi komplikasyonlar ortaya çıkabilmektedir. Bu komplikasyonlar ağız kanseri olarak yanlış teşhis konulmasına sebep olabilir. Bu olgu sunumunda, akut pulpitis ağrısıyla diş hekimi kliniğine başvuran 45 yaşındaki kadın hastada, lokal anestezi sonrası gelişen şüpheli lezyonun, VELscope® otofloresan inceleme yöntemi ile değerlendirilmesi amaçlanmıştır.
Otofloresans görüntüleme basit, uygun maliyetli ve non-invaziv bir yardımcı inceleme yöntemidir. Spesifikliği tartışmalı olsa da duyarlılık değeri yüksek olduğundan ağız içi muayene sırasında şüpheli lezyonların değerlendirilmesinde faydalı olabilmektedir.

References

  • Amirchaghmaghi M, Mohtasham N, Delavarian Z, Shakeri MT, Hatami M, Mosannen Mozafari P. The diagnostic value of the native fluorescence visualization device for early detection of premalignant/malignant lesions of the oral cavity. Photodiagnosis Photodyn. Ther. 2018; 21:19-27.
  • Balasubramaniam AM, Sriraman R, Sindhuja P, Mohideen K, Parameswar RA, Muhamed Haris KT. Autofluorescence based diagnostic techniques for oral cancer. J. Bioallied Sci. 2015 ;7(2):374-377.
  • Bennet CR. Monheims Local Anaesthesia and Pain Control in Dental Practice. Delhi: CBS Publishers and Distributors;1990.
  • Cânjău S, Todea DCM, Sinescu C, Pricop MO, Duma VF. Fluorescence influence on screening decisions for oral malignant lesions. Rom. J. Morphol. Embryol. 2018;59(1):203-209.
  • Cicciù M, Herford AS, Cervino G, Troiano G, Lauritano F, Laino L. Tissue Fluorescence Imaging (VELscope) for Quick Non-Invasive Diagnosis in Oral Pathology. J. Craniofac. Surg. 2017;28(2):112-115.
  • Erçalık Yalçınkaya Ş, Aksakallı N, Elçin MA, Dumlu A, Alatlı C, Özbayrak S. Evaluation of a fluorescence screening method in the detection of oral pre- and malignant lesions. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. 2015; 119(3):175
  • Erçalık Yalçınkaya Ş. Oral prekanseröz lezyonlarda doku otofloresansı esaslı ışıkla değerlendirme yöntemi: Derleme. Clin. Exp. Health. Sci. 2013;3(2):107-113.
  • Farah CS, McIntosh L, Georgiou A, McCullough MJ. Efficacy of tissue autofluorescence imaging (VELScope) in the visualization of oral mucosal lesions. Head Neck. 2012;34(6):856-862.
  • Gogna N, Hussain S, Al-Rawi S. Case reports: Palatal mucosal necrosis after administration of a palatal infiltration. Br. Dent. J. 2015 Dec 18;219(12):560-561.
  • Jastak JT, Yagiela JA. Regional Anesthesia of the Oral Cavity. St. Louis: The C.V. Mosby Company; 1981.
  • Jemal A, Murray T, Ward E, Samuels A, Tiwari RC, Ghafoor A, Feuer EJ, Thun MJ. Cancer statistics, 2005. CA Cancer J. Clin. 2005;55(1):10-30.
  • Kumar P, Krishna CM. Optical techniques: Investigations in oral cancers. In: Panta P, editors. Oral Cancer Detection. Cham: Springer; 2019.
  • Llewellyn CD, Johnson NW, Warnakulasuriya S. Factors associated with delay in presentation among younger patients with oral cancer. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 2004;97(6):707-713.
  • Neville BW, Damm DD,Allen CM,Chi AC. Oral and maxillofacial pathology. W. B. Saunders: Philadelphia;1995.
  • Sharma A, Sharma A, Bansal AK, Goyal C, Mankotia S, Parmar M, Mahant S. To evaluate the efficacy of tissue autofluorescence (Velscope) in the visualization of oral premalignant and malignant lesions among high-risk population aged 18 years and above in Haroli block of Una, Himachal Pradesh. J. Int. Soc. Prev. Community Dent. 2022;12(3):365-375.
  • Shashidara R, Sreeshyla HS, Sudheendra US. Chemiluminescence: a diagnostic adjunct in oral precancer and cancer: a review. J. Cancer Res. Ther. 2014;10(3):487-491.
  • Vibhute NA, Jagtap SV, Patil SV. Velscope guided oral cancer screening: a ray of hope in early oral cancer diagnosis. J. Oral Maxillofac. Pathol. 2021;25(3):548-549.
  • Wang C, Qi X, Zhou X, Liu H, Li M. Diagnostic value of objective VELscope fluorescence methods in distinguishing oral cancer from oral potentially malignant disorders (OPMDs). Transl. Cancer Res. 2022;11(6):1603-1615.

Evaluation of a Postanesthetic Palatal Ulceration with an Autofluorescence Screening Method: A Case Report and a Brief Literature Review

Year 2024, Volume: 8 Issue: 1, 36 - 40, 30.04.2024

Abstract

The use of local anesthesia applications in dentistry is a well-established and reliable practice. However, complications such as ulceration, necrosis, and mucosa sloughing may occur due to the firm and dense structure of the palatal mucosa after anesthesia. These complications may lead to a misdiagnosis of oral cancer. This case report aims to evaluate the suspicious lesion that developed after local anesthesia in a 45-year-old female patient who presented to the dental clinic with acute pulpitis pain using the VELscope® (Visually Enhanced Lesion Scope) autofluorescence screening method.
Autofluorescence screening can be used as an adjunctive method as it is a simple, inexpensive and non-invasive complementary examination method. Although its specificity is controversial, it has a high sensitivity value, so it can be useful in evaluating suspicious lesions during intraoral examination.

References

  • Amirchaghmaghi M, Mohtasham N, Delavarian Z, Shakeri MT, Hatami M, Mosannen Mozafari P. The diagnostic value of the native fluorescence visualization device for early detection of premalignant/malignant lesions of the oral cavity. Photodiagnosis Photodyn. Ther. 2018; 21:19-27.
  • Balasubramaniam AM, Sriraman R, Sindhuja P, Mohideen K, Parameswar RA, Muhamed Haris KT. Autofluorescence based diagnostic techniques for oral cancer. J. Bioallied Sci. 2015 ;7(2):374-377.
  • Bennet CR. Monheims Local Anaesthesia and Pain Control in Dental Practice. Delhi: CBS Publishers and Distributors;1990.
  • Cânjău S, Todea DCM, Sinescu C, Pricop MO, Duma VF. Fluorescence influence on screening decisions for oral malignant lesions. Rom. J. Morphol. Embryol. 2018;59(1):203-209.
  • Cicciù M, Herford AS, Cervino G, Troiano G, Lauritano F, Laino L. Tissue Fluorescence Imaging (VELscope) for Quick Non-Invasive Diagnosis in Oral Pathology. J. Craniofac. Surg. 2017;28(2):112-115.
  • Erçalık Yalçınkaya Ş, Aksakallı N, Elçin MA, Dumlu A, Alatlı C, Özbayrak S. Evaluation of a fluorescence screening method in the detection of oral pre- and malignant lesions. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. 2015; 119(3):175
  • Erçalık Yalçınkaya Ş. Oral prekanseröz lezyonlarda doku otofloresansı esaslı ışıkla değerlendirme yöntemi: Derleme. Clin. Exp. Health. Sci. 2013;3(2):107-113.
  • Farah CS, McIntosh L, Georgiou A, McCullough MJ. Efficacy of tissue autofluorescence imaging (VELScope) in the visualization of oral mucosal lesions. Head Neck. 2012;34(6):856-862.
  • Gogna N, Hussain S, Al-Rawi S. Case reports: Palatal mucosal necrosis after administration of a palatal infiltration. Br. Dent. J. 2015 Dec 18;219(12):560-561.
  • Jastak JT, Yagiela JA. Regional Anesthesia of the Oral Cavity. St. Louis: The C.V. Mosby Company; 1981.
  • Jemal A, Murray T, Ward E, Samuels A, Tiwari RC, Ghafoor A, Feuer EJ, Thun MJ. Cancer statistics, 2005. CA Cancer J. Clin. 2005;55(1):10-30.
  • Kumar P, Krishna CM. Optical techniques: Investigations in oral cancers. In: Panta P, editors. Oral Cancer Detection. Cham: Springer; 2019.
  • Llewellyn CD, Johnson NW, Warnakulasuriya S. Factors associated with delay in presentation among younger patients with oral cancer. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 2004;97(6):707-713.
  • Neville BW, Damm DD,Allen CM,Chi AC. Oral and maxillofacial pathology. W. B. Saunders: Philadelphia;1995.
  • Sharma A, Sharma A, Bansal AK, Goyal C, Mankotia S, Parmar M, Mahant S. To evaluate the efficacy of tissue autofluorescence (Velscope) in the visualization of oral premalignant and malignant lesions among high-risk population aged 18 years and above in Haroli block of Una, Himachal Pradesh. J. Int. Soc. Prev. Community Dent. 2022;12(3):365-375.
  • Shashidara R, Sreeshyla HS, Sudheendra US. Chemiluminescence: a diagnostic adjunct in oral precancer and cancer: a review. J. Cancer Res. Ther. 2014;10(3):487-491.
  • Vibhute NA, Jagtap SV, Patil SV. Velscope guided oral cancer screening: a ray of hope in early oral cancer diagnosis. J. Oral Maxillofac. Pathol. 2021;25(3):548-549.
  • Wang C, Qi X, Zhou X, Liu H, Li M. Diagnostic value of objective VELscope fluorescence methods in distinguishing oral cancer from oral potentially malignant disorders (OPMDs). Transl. Cancer Res. 2022;11(6):1603-1615.
There are 18 citations in total.

Details

Primary Language English
Subjects Oral and Maxillofacial Radiology
Journal Section Case Reports
Authors

Yeliz Güneş 0000-0001-7136-4205

Melisa Öçbe 0000-0003-1609-610X

Mehmet Oğuz Borahan 0000-0003-4193-2368

Asım Dumlu 0000-0003-4330-0890

Şebnem Erçalık Yalçınkaya 0000-0003-2924-1935

Early Pub Date April 29, 2024
Publication Date April 30, 2024
Submission Date November 25, 2023
Acceptance Date January 12, 2024
Published in Issue Year 2024 Volume: 8 Issue: 1

Cite

APA Güneş, Y., Öçbe, M., Borahan, M. O., Dumlu, A., et al. (2024). Evaluation of a Postanesthetic Palatal Ulceration with an Autofluorescence Screening Method: A Case Report and a Brief Literature Review. European Journal of Research in Dentistry, 8(1), 36-40.