Abstract
Objetivo: o objetivo do presente trabalho é relatar 4 casos de estomatite de contato relacionada a cremes dentais com foco em sua apresentação clínica e a importância do diagnóstico diferencial com outras condições reativas, inflamatórias e potencialmente malignas da cavidade oral. Relato de caso: os 4 casos envolveram mulheres adultas e apresentaram-se clinicamente como manchas e placas brancas e vermelhas multifocais acometendo a língua, o assoalho de boca e a mucosa labial, associadas a discreta sensação de queimação e com evolução de 7 a 15 dias. Todas as pacientes relataram terem iniciado o uso de um novo creme dental poucos dias antes do surgimento dos sintomas e todas as lesões desapareceram em um intervalo de 5 a 7 dias após a suspensão do seu uso. Conclusão: estomatite de contato relacionada a cremes dentais deve ser considerada no diagnóstico diferencial das manchas e placas brancas e vermelhas da cavidade oral, e a história clínica detalhada é essencial para o diagnóstico final correto e precoce. Como o uso de novos enxaguatórios e cremes dentais, assim como de outros produtos de higiene oral, vem aumentando, dentistas clínicos devem estar atentos a possibilidade de reações locais orais associadas ao seu uso.
Highlights
Contact stomatitis is a local reaction to direct contact of an agent with the mucosal surface.[1]
Several oral hygiene and cosmetic products have been associated with oral contact stomatitis, including toothpastes, dental floss, denture cleansers, mouthwashes, lipsticks, soaps, liquid medicines, pharmaceutical throat medications, and balms.[4,5,6,7]
Based on the cases reported in the literature, it can be speculated that contact cheilitis and/or stomatitis associated with these products is underestimated
Summary
Contact stomatitis is a local reaction to direct contact of an agent with the mucosal surface.[1]. Patient reported that she had started the use of a different toothpaste just before the onset of the lesions. The patient reported that the lesions have appeared 7 days before and that she had started to use a different toothpaste 10 days before Case 4 – A 56-year-old female was referred for evaluation of several painful reddish plaques, vesicles, and aphthae-like lesions on her lower labial mucosa lasting 7 days (Figure 4). The patient reported that burning sensation and red lesions have appeared after she started the use of a different toothpaste Clinical provisional diagnosis was contact stomatitis to toothpaste and interruption of its use resulted in remission of the lesions in 5 days
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