MANAGEMENT OF PREGNANT PATIENT WITH MANDIBULAR INJURY

The management of pregnant women in dentistry is a challenge that requires attention and interdisciplinary care. This study reports the case of mandibular intraosseous lesion in pregnant women, addressing tomographic dose, type of anesthetic procedure, moment of intervention, and outcome of treatment. The patient is 44 years old with complaint of lack of sensitivity in the mental region. She was on the third gestational month, and had done cone beam tomography. Clinical examination revealed a slight increase in mandibular volume, absence of decayed teeth, or periodontal pocket in the involved teeth. After contact with the attending physician, an incisional biopsy was performed with 2% lidocaine with epinephrine, with diagnostic hypotheses of Central giant cell granuloma (CGCG), ameloblastoma, and aneurysmal bone cyst. After definitive diagnosis of CGCG, we chose to perform surgical treatment after childbirth. The patient returned 1 year later, and the lesion spontaneously regressed. After 2 years, computed tomography showed total wound healing.