Surgical treatment of recurrent fibrous dysplasia in the jaw: case report and integrative review

Abstract

Objective: The purpose of this study is to understand the etiopathogenesis of fibrous dysplasia through an integrative review, discussing its forms of treatment, reporting a case of surgical treatment and comparing the treatment options in the literature. Case report: Patient E.F.N., 52 years old, male, presented to the dental office, reporting that he had noticed an increase in volume in the posterior region of the mandible on the left side and difficulty in installing his removable partial denture. During anamnesis, the patient reported having been diagnosed and treated for fibrous dysplasia in the same region 8 years ago. Conclusion: There is a consensus in the literature that the etiopathogenesis of fibrous dysplasia is related to the genetic mutation of the GNAS-1 gene; however, the factors that induce this mutation are not clear. On the other hand, there is still no consensus among the authors as to the best treatment option; however, conservative surgical treatment is highlighted, as it is an alternative that presents lower morbidity.