Amalgam tattoo: a cause of sinusitis?

Parizi, José Luiz Santos; Nai, Gisele Alborghetti

doi:10.1590/s1678-77572010000100016

Cited by 4 publications

(4 citation statements)

References 13 publications

(23 reference statements)

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“…After the histologic examination, it was verified as an amalgam-pigmented lesion. One year after the lesion removal, the patient informed that the complaints had ceased after the metal removal [ 13 ]. The increase in the size of the lesion can be due to either mechanical spread in the soft tissues or lymphatic transport.…”

Section: Discussionmentioning

confidence: 99%

Clinically Unusual Pigmented Lesion of the Buccal Mucosa: A Case Report

Yankov,

Nenova-Nogalcheva,

Dimanov

et al. 2023

Cureus

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We present a rare clinical case of a 64-year-old patient with a pigmented lesion localized in the left buccal mucosa. Subjective complaints of slight pain and discomfort in the process of eating and increased sensitivity when consuming hot food were reported. According to the information provided by the patient, the lesion had progressively increased in size. A history of previous dental manipulations was reported, namely, the extraction of teeth with amalgam obturations in the left half of the maxilla as per relevant indications. During the intraoral examination, a flat, black-colored lesion, 0.4 cm in diameter, with well-defined borders was observed in the buccal mucosa. Teeth 25, 26, and 27 were previously extracted five to seven years ago. An orthopantomography was performed as a routine procedure. It did not show any presence of X-ray contrast areas that could explain the symptoms of the patient. The symptomatic nature of the lesion as well as the negative radiological findings prompted surgical treatment and excisional biopsy with subsequent histological evaluation to rule out oral malignancy. An excision was performed. During the follow-up examination in the next eight days, all the symptoms of the patient were gone. The conclusion of the pathology report was "histological findings and clinical data consistent with amalgam tattoo". The amalgam tattoo is the most frequent iatrogenic pigmented lesion of the oral mucosa, which results from the implantation of amalgam particles in the soft tissues and it is usually asymptomatic. In this case, no surgical treatment is needed. However, in some rare cases, like the one we are presenting, some symptoms can occur and complicate the diagnostic process. In these cases, the complete excision of the lesion is to be performed with subsequent histological evaluation. The atraumatic intervention of teeth, obturated with definitive amalgam fillings, is a main factor for preventing this kind of pigmentation of the oral mucosa.

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Section: Discussionmentioning

confidence: 99%

Clinically Unusual Pigmented Lesion of the Buccal Mucosa: A Case Report

Yankov,

Nenova-Nogalcheva,

Dimanov

et al. 2023

Cureus

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“…La mayoría de los tatuajes de amalgama se deben a tratamientos dentales cuando las partículas de metal se depositan accidentalmente en heridas orales abiertas o se estrellan como una metralla en la mucosa oral durante los procedimientos de preparación del diente 14 . Rosebusch y colaboradores en 2019, nos comentan que la pigmentación de las mucosas puede ocurrir debido a la deposición de materiales exógenos en las mucosas 2 , mientras que otros autores señalan que puede ser llevada a cabo esta deposición por medio de la extracción de dientes con amalgama dental y que cualquier parte de la mucosa puede estar involucrada, mencionando que los sitios con mayor frecuencia son: la encía, la mucosa alveolar y la mucosa alveolar 6,7 . Regezi 3 en su libro sobre Patología Oral señala que la importancia del tatuaje por amalgama radica en su similitud clínica con las lesiones productoras de melanina, las lesiones pigmentadas pueden diagnosticarse clínicamente según el tamaño, la forma o el color, junto con la información clínica y que desarrollo de un diagnóstico diferencial es imperativo para un médico que se enfrenta a estas lesiones para poder tratar adecuadamente al paciente como nos relata Gondak 10 .…”

Section: Discussionunclassified

“…Se han reportado reacciones de hipersensibilidad y su uso ha sido prohibido en varios países. 5 Por lo general, sigue a la extracción de dientes portadores de amalgama, 3 cualquier superficie de la mucosa puede estar involucrada, pero los más frecuentes son: encía, mucosa alveolar y mucosa bucal 6,7 . Es la pigmentación más común de las membranas mucosas orales, 3 aparecen como máculas ligeramente elevadas, de color negro, azul o gris, de bordes bien definidos, irregulares o difusos.…”

Section: Introductionunclassified

Amalgam Tattoo: Clinical Case

Bonal-Medina¹,

Carrillo-García²,

Riggen-Martínez³

et al. 2022

RevFacOdont

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The amalgam tattoo or focal argyrosis, is an iatrogenic lesion that follows the traumatic implantation of amalgam particles in soft tissue or the passive transfer by chronic friction of the mucosa against an amalgam restoration is characterized by the deposit of remains of restorative material composed of a mixture of silver, mercury, zinc, tin and copper in the connective tissue. Objective to present the clinical case of a patient with amalgam tattoo and the treatment that was carried out prior to his dental rehabilitation. Methods we did adiagnostic and excisional biopsy of the pigmentated lesion Result, as a result of the biopsy, we found that amalgam tattoo with a granulomatous reaction to a foreign body. Conclusion: By means of an excisional biopsy, the diagnosis of the lesion observed in the patient was verified, thus resulting in an amalgam tattoo with a granulomatous reaction to a foreign body

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“…Докладвани са случаи на синуити от амалгамени татуировки, като след отстраняване на метала оплакванията се преустановяват (15).…”

Section: амалгамена татуировкаunclassified

Adverse reactions in the mouth when using dental amalgam

Panov

2016

vmf

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Повече от два века денталната амалгама се прилага за лечение на заболяванията на твърдите зъбни тъкани. В много страни, включително и у нас, сребърната амалгама все още се използва масово за възстановяване на разрушени зъби. Наред с токсичността на живака в нея в устата могат да се наблюдават различни състояния след употребата й. Реакции по оралната лигавица при употреба на амалгама са предимно под формата на лихеноидни лезии. Оралните лихеноидни лезии, причинени от контакт с дентална амалгама, клинично или хистологично са трудно различими от други лихеноидни лезии или от идиопатичния орален лихен планус. Те могат да бъдат причинени от контактна свръхчувствителност. Етиологичните фактори на оралния лихен планус включват наличието на дентална амалгама. Директният контакт или случайното имплантиране на амалгама в лигавицата водят до амалгамена татуировка. Патогалванизмът възниква при едновременно присъствие на различни метални сплави в устната кухина в течната среда на устата с локален или системен ефект. Описани са също така различни реакции и смущения от страна на тъканите в лицево-челюстната област при наличието на дентална амалгама. Лезиите най-често са безсимптомни, но макар и рядко пациентите съобщават болка или повишена чувствителност при консумиране на горещи или пикантни храни.

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Amalgam tattoo: a cause of sinusitis?

Cited by 4 publications

References 13 publications

Clinically Unusual Pigmented Lesion of the Buccal Mucosa: A Case Report

Clinically Unusual Pigmented Lesion of the Buccal Mucosa: A Case Report

Amalgam Tattoo: Clinical Case

Adverse reactions in the mouth when using dental amalgam

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