Download PDF
CC BY-NC-ND 4.0 · Eur J Dent 2020; 14(02): 331-334
DOI: 10.1055/s-0040-1709919
Case Report

An Unusual Granular Ulcer Secondary Oral Tuberculosis of Vestibule Mandibular Mucosa

Rocío Valenzuela-Narváez
1   School of Dentistry, University of Barcelona, Barcelona, Spain
,
Daniel A. Valenzuela
2   National University Jose Faustino Sanchez Carrion, Huacho, Perú
,
Daniel R. Valenzuela
3   Military Hospital & Gastrovital Medical Center, Perú
,
Aguilar Bailón
4   Alas Peruanas University, Pueblo Libre, Perú
,
Heriberto Machco
5   National University Federico Villarreal, San Miguel, Perú
,
Carla Mena
6   San Martin de Porres Private University, Perú
,
María Córdova
2   National University Jose Faustino Sanchez Carrion, Huacho, Perú
,
Cris Mejía
3   Military Hospital & Gastrovital Medical Center, Perú
,
Ana Estrada
4   Alas Peruanas University, Pueblo Libre, Perú
› Author Affiliations Funding None.
› Further Information
Also available at
   Permissions and Reprints

Abstract

Tuberculosis (TB) is a chronic infectious disease caused by Mycobacterium tuberculosis. In the oral cavity, clinical manifestations are considered atypical lesions. The aim of this study was to report an unusual granular ulcer secondary oral TB that does not heal, chronic, had irregular appearance with deep depression of 2 cm in diameter, and was located in buccal mucosa of the premolar area–the left mandibular arch, of a 42-year-old woman. The patient was subjected to surgical excision of ulcer in its entirety and accordingly a periodontal plastic surgery in the area of the lesion was performed positioning an autograft subepithelial connective tissue. We obtained optimal results in improving oral health, function, and patient’s comfort, in postoperative controls at 15, 30, and 60 days, respectively.

Keywords

autograft - buccal mucosa - diagnosis - granular ulcer - secondary oral tuberculosis - treatment


Publication History

Article published online:
12 May 2020

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Pavlinac PB, Lokken EM, Walson JL, Richardson BA, Crump JA, John-Stewart GC. Mycobacterium tuberculosis bacteremia in adults and children: a systematic review and meta-analysis. Int J Tuberc Lung Dis 2016; 20 (07) 895-902
    CrossrefPubMedGoogle Scholar
  • 2 Araj GF, Saade A, Itani LY, Avedissian AZ. Tuberculosis burden in Lebannon: evolution and current status. J Med Liban 2016; 64 (01) 1-7
    PubMedGoogle Scholar
  • 3 Taute RB, Wylie J, Carter L. Oral and maxillofacial surgery: anunusual extranodal presentation of Mycobacterium Tuberculosis in the upper lip. Dent Update 2015; 42 (05) 473-475
    CrossrefPubMedGoogle Scholar
  • 4 Trinh QM, Nguyen HL, Do TN. et al. Tuberculosis and HIV co-infection in Vietnam. Int J Infect Dis 2016; 46: 56-60
    CrossrefPubMedGoogle Scholar
  • 5 Nagaraj V, Sashykumar S, Viswanathan S, Kumar S. Multiple oral ulcers leading to diagnosis of pulmonary tuberculosis. Eur J Dent 2013; 7 (02) 243-245
    Article in Thieme ConnectPubMedGoogle Scholar
  • 6 Kakisi OK, Kechagia AS, Kakisis IK, Rafailidis PI, Falagas ME. Tuberculosis of the oral cavity: a systematic review. Eur J Oral Sci 2010; 118 (02) 103-109
    CrossrefPubMedGoogle Scholar
  • 7 Ferguson KA, McCormack DG. Tuberculosis involving the oral cavity. Can J Infect Dis 1993; 4 (01) 12-14
    PubMedGoogle Scholar
  • 8 Klepacz J, Peterson R, Kurnatowska AJ. Tuberculosis in oral cavity-a case report. Porad Stomatol 2008; 8: 169-172
    Google Scholar
  • 9 Wang WC, Chen JY, Chen YK, Lin LM. Tuberculosis of the head and neck: a review of 20 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107 (03) 381-386
    CrossrefPubMedGoogle Scholar
  • 10 Ram H, Kumar S, Mehrotra S, Mohommad S. Tubercular ulcer: mimicking squamous cell carcinoma of buccal mucosa. J Maxillofac Oral Surg 2012; 11 (01) 105-108
    CrossrefPubMedGoogle Scholar
  • 11 Gurfinkel PC, Gurfinkel AC, Cuzzi T, Ramos-e-Silva M. Eosinophilic ulcer of the oral mucosa. Skinmed 2012; 10 (04) 228-231
    PubMedGoogle Scholar
  • 12 Aoun N, El-Hajj G, El Toum S. Oral ulcer: an uncommon site in primary tuberculosis. Aust Dent J 2015; 60 (01) 119-122
    CrossrefPubMedGoogle Scholar
  • 13 Rosado P, Fuente E, Gallego L, Calvo N. Primary tuberculosis of the palate. BMJ Case Rep 2014; 2014: 115-118
    Google Scholar
  • 14 Krawiecka E, Szponar E. Tuberculosis of the oral cavity: an uncommon but still a live issue. Postepy Dermatol Alergol 2015; 32 (04) 302-306
    PubMedGoogle Scholar
  • 15 Erbaycu AE, Taymaz Z, Tuksavul F, Afrashi A, Güçlü SZ. What happens when oral tuberculosis is not treated?. Monaldi Arch Chest Dis 2007; 67 (02) 116-118
    PubMedGoogle Scholar
  • 16 Chhina SA. 12 month clinical and radiographic study to assess efficacy of open flap debridement and subepithelial connective tissue graft in management of supra crestal defects. J Int Oral Health 2015; 7: 108-113
    PubMedGoogle Scholar
  • 17 Reino DM, Maia LP, Novaes Jr AB, Souza SL. Comparative study of two surgical techniques for root coverage of large recessions in heavy smokers. Int J Esthet Dent 2015; 10 (03) 456-467
    PubMedGoogle Scholar
  • 18 Zuhr O, Bäumer D, Hürzeler M. The addition of soft tissue replacement grafts in plastic periodontal and implant surgery: critical elements in design and execution. J Clin Periodontol 2014; 41 (Suppl. 15) S123-S142
    CrossrefPubMedGoogle Scholar