Radiographic characteristics of the maxillomandibular complex in neufibromatosis: short communication and literature review

• Published in: Oral radiology Vol. 38; no. 4; pp. 645 - 650
• Main Authors: Sakaniva, Vittória Christina Fátima Dias, Gringo, Caroline Paula Oliveira, Yaedú, Renato Yassutaka Faria, Pagin, Otavio
• Format: Journal Article
• Language: English
• Published: Singapore Springer Nature Singapore 01-10-2022; Springer Nature B.V
• Subjects: Adult; Dentistry; Dentists; Genetic disorders; Hamartoma; Humans; Imaging; Literature reviews; Male; Mandibular canal; Medicine; Neurofibromatoses; Neurofibromatosis; Neurofibromatosis 1 - diagnosis; Neurofibromatosis 1 - pathology; Neurological disorders; Oral and Maxillofacial Surgery; Patients; Radiology; Rapid Communication; Recklinghausen's disease; Tumors; Mandibular foramen; Neurofibromatosis type 1; Von Recklinghausen’s disease; Neurofibroma
• ISSN: 0911-6028; 1613-9674
• DOI: 10.1007/s11282-022-00624-z

Objective
To report radiographic characteristics of a case of a patient with neurofibromatosis involving the maxillomandibular complex and to point out other dental radiographic characteristics that are found in the scientific literature to help the dentist when faced with a case of neurofibromatosis.
Short communication
Male, 31 years old, referred for radiographic examination. During anamnesis and physical examination, lesions were noted, which were papules and café-au-lait patches larger than 1 cm on the trunk and upper limbs, further to Lisch nodules (brown spots on the iris) and axillary and inguinal ephelides. When investigating the history of the disease, the patient reported the presence of such skin atlterations since birth and mentioned that his mother had been diagnosed with neurofibromatosis. During radiographic evaluation, a significant increase in the caliber of the mandibular canal and mental foramen was observed, bilaterally.
Conclusion
Completing the combination of skin characteristics present in the patient, anamnesis data and current history of the disease with interpretation of radiographic alterations, it was possible to arrive at the diagnostic hypothesis of Neurofibromatosis type 1 and correct clinical management. Therefore, it is extremely important for the dentist to be aware of the clinical, physical and radiographic characteristics that this condition presents for the correct management and success of dental treatment.