title: Conservative treatment of intraosseous hemangiomas in the mandible: case report with a 17-year follow-up period.
abstract: Intraosseous hemangiomas in the jaws are rare lesions and may lead to several complications. The authors present a case of a 12-year-old girl with a radiolucent periapical lesion between tooth 35 and 36 where nocturnal exsanguinating bleeding started to occur from periodontal sulcus during orthodontic treatment. Diagnosis of an intraosseous hemangioma in the mandible was based on positive needle aspiration for blood, computed tomography and arteriography. At first the family chose to only follow-up the lesion but episodes of nocturnal hemorrhage were becoming more frequent and a treatment was requested. Embolization and dental extraction were performed in order to treat the lesion. After a follow-up period of 17 years no more cases of hemorrhage occurred and lesion regressed.
authors.affiliation: Full Professor, Department of Dentistry, Integrated College Espírito Santense FAESA, Vitória, ES, Brazil.
authors.forename: Fausto
authors.initials: F
authors.lastname: Frizzera
authors.affiliation: Adjunct Professor, Department of Clinical Odontology, Health Sciences Center, Federal University of Espírito Santo, Vitória, ES, Brazil.
authors.forename: Ivette
authors.initials: I
authors.lastname: Beccalli
authors.affiliation: Adjunct Professor, Department of Clinical Odontology, Health Sciences Center, Federal University of Espírito Santo, Vitória, ES, Brazil.
authors.forename: Rosa Maria Lourenço Carlos
authors.initials: RM
authors.lastname: Maia
authors.affiliation: Postgraduate Course in Dentistry, University of Cuiabé Cuiabé, MT, Brazil.
authors.forename: Mateus Rodrigues
authors.initials: MR
authors.lastname: Tonetto
authors.affiliation: Professor, Full Professor, Department of Dentistry, Integrated College Espírito Santense FAESA, Vitória, ES, Brazil, e-mail: lilianabarros@ hotmail.com.
authors.forename: Liliane Scheidegger da Silva
authors.initials: LS
authors.lastname: Zanetti
authors.affiliation: Adjunct Professor, Department of Clinical Odontology, Health Sciences Center, Federal University of Espírito Santo, Vitória, ES, Brazil.
authors.forename: Liliana Pimenta Aparecida
authors.initials: LP
authors.lastname: de Barros
mesh_terms: D000792:Angiography / Q000379:methods; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging; D001707:Biopsy, Needle / Q000379:methods; D002648:Child; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006391:Hemangioma / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008339:Mandibular Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*; D008963:Molar / Q000601:surgery; D006472:Oral Hemorrhage / Q000628:therapy; D014057:Tomography, X-Ray Computed / Q000379:methods; D014081:Tooth Extraction / Q000379:methods