The patient was a 23-year-old female EJO, located at the Oral-Maxillofacial Surgery Service of the Faculty of Lingual Dentistry of the Graduate School, National School of Dentistry, National University of Mexico.
The patient was clinically diagnosed with neurofibromatosis.
Physical examination revealed facial discomfort and hundreds of nodules throughout the body including face and neck.
Coffee-milk blankets were present in the trunk and upper limbs.
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The intraoral examination revealed malocclusion, diastema, absence of teeth and a mass of neurofibromatous aspect of the inferior ridge, lingually to the alveolar ridge.
The lesion was firm and painless, with normal mucosa coloration, non-ulcerated, sessile base and approximately 2.5 cm in extension.
Due to its size and relationship with teeth, it did not allow adequate hygiene of the region, resulting in accumulation of calculi.
The tongue also presented increased volume, with presence of neurofibromatous lesion of diffuse limits.
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Radiographic examination revealed the presence of retained element 23 and right mandibular hypoplasia.
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The conduct adopted for the neurofibromatous lesion present in the lower anterior region was surgical excision.
The lingual lesion was not surgically approached due to the fact that it did not present functional or aesthetic compromise for the patient.
The diagnosis of neurofibromatosis was confirmed by pathological analysis.
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The patient has six months of postoperative follow-up, with no complaints and no apparent sign of lesion recurrence.
Currently, the patient is under periodontal treatment, with a significant improvement in the conditions of local support tissues.
