9º FICHAMENTO
Autor: Anni Odonto | Publicado: 2011-06-05T18:00:00-07:00

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Hiperplasia fibrosa inflamatória: relato de caso e revisão de literatura
Antônio Fernando Pereira Falcão Patrícia Leite Ribeiro Lamberti Felipe da Gama Lobo LorensJuliana Andrade de Lacerda Bruno Campos Nascimento 
“A hiperplasia fibrosa inflamatória, também denominada de epúlide fissurada, enquadra-se entre as lesões benignas do tecido mole decorrentes de traumas crônicos, geralmente de uma prótese mal adaptada. Essa lesão acomete preferencialmente o sexo feminino, adultos de meia idade ou mais velhos, e usuários de próteses.”
“É mais frequente na região anterior da maxila, exofítica, e pode variar de flácida a consistente.”
“A hiperplasia fibrosa inflamatória é uma lesão proveniente de uma reação hiperplásica do tecido conjuntivo fibroso (SAPP; EVERSOLE; WYSOCKI, 1997).”
“Outras sinonímias para essa lesão foram apresentadas por Neville e colaboradores (2004), como epúlide fissurada, tumor por lesão de dentadura, epúlide por dentadura, sendo referida também por Alves e Gonçalves (2005) como hiperplasia fibrosa traumática. Contudo, ela é denominada melhor como hiperplasia fibrosa inflamatória (NEVILLE et al., 2004; SANTOS; COSTA; SILVA NETO, 2004).”
“Há uma frequente relação entre o aparecimento da hiperplasia fibrosa inflamatória e a utilização de próteses mal adaptadas (ALVES; GONÇALVES, 2005; COELHO; SOUSA; DARÉ, 2004; NEVILLE et al., 2004; SAPP; EVERSOLE; WYSOCKI, 1997).”
“Além da influência de próteses mal adaptadas no aparecimento dessa lesão, enquadram-se, como fatores etiológicos, diastemas, bordos cortantes de dentes, procedimentos iatrogênicos e higiene bucal inadequada (BASSI; VIEIRA; GABRIELLI, 1998; SANTOS; COSTA; SILVA NETO, 2004).” 
“A hiperplasia fibrosa inflamatória é mais prevalente no sexo feminino, de acordo com a maioria dos estudos, compreendendo dois terços a três quartos dos casos biopsiados.”
“A candidíase associada à prótese é um tipo de candidose eritematosa, sendo referida por candidíase atrófica crônica ou estomatite por dentadura.”
“A realização da biópsia é importante para confirmar o diagnóstico de hiperplasia fibrosa inflamatória, visto que essa lesão faz diagnóstico diferencial com&nbsp; lipofibroma, neurofibroma, rabdomioma, leiomioma e tumores de glândulas salivares menores (COUTINHO; SANTOS, 1998) e também com o granuloma piogênico e o fibroma ossificante periférico (COLEMAN; NELSON, 1996).”
“Este trabalho contempla uma revisão de literatura sobre o assunto em questão, a hiperplasia fibrosa inflamatória, destacando suas características clínicas, os fatores etiológicos, a histopatologia da lesão e o tratamento, assim como, o relato de um caso clínico da referida patologia.”
“A hiperplasia fibrosa inflamatória é uma lesão proliferativa de tecidos mole, não neoplásica, prevalente na cavidade oral.”
“Para o sucesso terapêutico, é imprescindível, além da remoção cirúrgica, a eliminação do agente traumático.”