A Rare Oral Focal Mucinosis Presentation in the Aesthetic Zone: A Case Report

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Authors

  • Fatima Tiwana Graduate Periodontics Program - Department of Periodontology and Dental Hygiene, Univer- sity of Detroit Mercy School of Dentistry, Detroit, MI, USA
  • Ana Janic Department of Periodontology and Dental Hygiene, University of Detroit Mercy School of Den- tistry, Detroit, MI, USA
  • Michelle Wheater Department of Biomedical and Diagnostic Sciences, University of Detroit Mercy School of Dentistry, Detroit, MI, USA
  • Bassam Kinaia Department of Periodontology and Dental Hygiene, University of Detroit Mercy School of Den- tistry, Detroit, MI, USA

DOI:

https://doi.org/10.17140/DOJ-2-124

Keywords:

Histology Pathology, Aesthetic Crown lengthening, Osseous Surgery, Mucinoses Rare diseases Complications

Abstract

The current case report presents a rare oral pathology of Oral Focal Mucinosis (OFM).
The patient developed marginal gingival inflammation subsequent to esthetic crown lengthening
surgery. The differential diagnosis included candidal infection, foreign body gingivitis, and
Desquamative Gingivitis (DG). An incisional biopsy was performed, indicating a definitive histopathological
diagnosis of OFM. OFM is a lesion developing due to over production of hyaluronic
acid by fibroblasts, compromising the normal collagen production. Treatment of OFM is
excisional biopsy, however; its location near the gingival margin in the aesthetic zone required a
minimally invasive surgical approach. Therefore, a less invasive treatment using corticosteroids
was administered, leading to resolution of the inflammation.

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Published

2016-02-26

How to Cite

Fatima Tiwana, Ana Janic, Michelle Wheater, & Bassam Kinaia. (2016). A Rare Oral Focal Mucinosis Presentation in the Aesthetic Zone: A Case Report. Dentistry, 2(5), 132–136. https://doi.org/10.17140/DOJ-2-124