Publications by authors named "Amanda K G Gonzaga"

Introduction: Osteomyelitis is an inflammatory condition of the bone with a multifactorial etiology, including trauma and odontogenic infections. Despite being a common condition in clinical practice, limited research exists on the clinical and pathological profile of Osteomyelitis of the Jaws (OJ). This 51-year retrospective study aimed to describe the clinical, radiographic, and histopathological features of OJ diagnosed at a single oral pathology referral center.

View Article and Find Full Text PDF
Article Synopsis
  • - Multiple myeloma (MM) is a rare cancer often treated with bisphosphonates, which help reduce bone loss and prevent complications, and this study focused on identifying imaging patterns related to this treatment in MM patients.
  • - The study reviewed six research articles involving 669 MM patients, of which 447 were treated with bisphosphonates like pamidronate and zoledronate; many patients developed medication-related osteonecrosis of the jaw (MRONJ), primarily affecting the mandible with specific radiographic features.
  • - The findings highlight distinct radiographic patterns of bone lesions in MM patients undergoing bisphosphonate therapy, which are important for early diagnosis and improving treatment outcomes.
View Article and Find Full Text PDF
Article Synopsis
  • * Most affected individuals were women in their 50s and 60s, with the mouth being the most common site for lesions (71.4% in PV and 91% in MMP); the cheek mucosa and gingiva were notably the most frequently impacted areas.
  • * Treatment varied, with systemic corticosteroids being the primary approach for PV patients (50%), while MMP patients often received topical therapy (53.7%); differences
View Article and Find Full Text PDF

Purpose: Pycnodysostosis (PYCD), an autosomal recessive syndrome, is characterized by an imbalance in bone remodeling that produces various clinical and radiographic craniofacial manifestations. This review represents a systematic examination of these manifestations, as well as oral features associated with PYCD.

Materials And Methods: A systematic review was conducted across 8 databases from February to March 2023.

View Article and Find Full Text PDF

This study aimed to evaluate the contribution of oral and maxillofacial pathology laboratories (OMPLs) in Brazilian public universities to the diagnosis of lip, oral cavity, and oropharyngeal squamous cell carcinoma (SCC). A cross-sectional study was performed using biopsy records from a consortium of sixteen public OMPLs from all regions of Brazil (North, Northeast, Central-West, Southeast, and South). Clinical and demographic data of patients diagnosed with lip, oral cavity, and oropharyngeal SCC between 2010 and 2019 were collected from the patients' histopathological records.

View Article and Find Full Text PDF

Objective: To evaluate the levels of oxidative stress markers in the saliva of patients with oral lichen planus (OLP).

Methods: A cross-sectional study was conducted with 22 patients diagnosed both clinically and histologically with OLP (reticular or erosive) and 12 individuals without OLP. Non-stimulated sialometry was performed and oxidative stress (myeloperoxidase - MPO and malondialdehyde - MDA) and antioxidant (superoxide dismutase - SOD and glutathione - GSH) markers were determined in the saliva.

View Article and Find Full Text PDF

Objective: To evaluate the impact of the COVID-19 pandemic on the number of diagnoses of oral and maxillofacial lesions in public laboratories after one year of COVID-19 outbreak in Brazil.

Material And Methods: This is a cross-sectional study. Biopsies submitted to histopathologic examination from March 2019 to February 2020 (pre-pandemic period) and from April 2020 to March 2021 (pandemic period) in nine Brazilian public oral pathology laboratories were retrieved and the number of diagnoses, types of lesion, and percentage changes during both periods were analyzed.

View Article and Find Full Text PDF

Purpose: This study aimed to evaluate the effects and mechanisms of action of royal jelly (RJ) and propolis compared to photobiomodulation therapy (PBMT) in an animal model of 5-fluorouracil-related oral mucositis (OM).

Methods: Seventy-two male Wistar rats were randomly allocated to four groups (n = 18 each): control (no treatment), PBMT (intraoral laser, 6 J/cm), RJ, and propolis. On days 0 and 2, the animals received an injection of 5-fluorouracil (5-FU).

View Article and Find Full Text PDF

Actinic cheilitis (AC) and lower lip squamous cell carcinoma (LLSCC) exhibit epithelial alterations mainly associated with chronic ultraviolet ray exposure. Currently, it is impossible to predict which AC cases will progress to LLSCC; thus, biomolecular markers have been studied. The aim of this study was to evaluate the immunoexpression of IMP-3 and KI-67 in AC and LLSCC.

View Article and Find Full Text PDF

The aim of this study was to identify tumor parenchyma cells exhibiting immunohistochemical profile of stem cells by evaluating the immunoreactivity of OCT4 and CD44 in a number of cases of salivary gland neoplasms. The sample consisted of 20 pleomorphic adenomas, 20 mucoepidermoid carcinomas, and 20 adenoid cystic carcinomas located in major and minor salivary glands. The expression of OCT4 and CD44 was evaluated by the percentage of positive cells and the intensity of expression.

View Article and Find Full Text PDF

Objectives: To analyze the expression profile of DNA repair proteins (XRCC1 and APE1) and histone acetylation (H3K9) in oral and cutaneous lichen planus, in order to investigate potential biological markers that can clarify pathogenesis of these lesions.

Design And Results: The total sample consisted of 89 lichen planus cases (66 oral and 23 cutaneous). Analysis of APE1 and XRCC1 expression was performed by immunohistochemistry in 44 oral and 20 cutaneous lichen planus, whereas the analysis of H3K9 acetylation was performed by immunofluorescence in 42 oral and 11 cutaneous lichen planus.

View Article and Find Full Text PDF
Article Synopsis
  • Cheilitis Glandularis (CG) is a rare, chronic inflammatory disorder affecting the minor salivary glands in the lips, characterized by thick saliva or mucopurulent secretion from dilated ducts and varying macrocheilia.* -
  • A case study is presented of a 48-year-old male with leucoderma suffering from both actinic and glandular cheilitis, highlighting the importance of clinical management, diagnosis criteria, and treatment.* -
  • Despite being relatively easy to diagnose, treating CG remains challenging due to its unclear cause, which complicates the development of specific and effective treatment options.*
View Article and Find Full Text PDF

Actinic cheilitis (AC) is a potentially malignant lesion caused by chronic sun exposure. This study aimed to evaluate the relationship between the degree of epithelial dysplasia and morphometric findings in AC. Sixty-eight slides of AC cases were selected and classified according to the grade of epithelial dysplasia, following morphologic criteria of World Health Organization.

View Article and Find Full Text PDF

Human Leukocyte Antigen G (HLA-G) is a molecule involved in the tumor immunosuppression and also in the generation of regulatory T (Treg) cells, thus leading to evasion to the immune system host, and consequently, contributing to tumor progression in several cancers. The aim of this study was to evaluate the immunoexpression of HLA-G by tumor cells and FoxP3+ Treg cells in 25 oral tongue squamous cell carcinomas (SCCs) and 25 lower lip SCCs and analyze their relationship with clinical parameters. HLA-G expression was higher in oral tongue SCCs than in lower lip SCCs.

View Article and Find Full Text PDF

Objectives: The objective of the study is to assess, by clinical follow-up, the efficacy of the dermatological cream Fludroxycortide 0.125 mg/g (Drenison®) in the treatment of actinic cheilitis (AC).

Material And Methods: Twenty-three patients diagnosed with AC participated in the study.

View Article and Find Full Text PDF
Article Synopsis
  • The study examines the role of immune checkpoint molecules PD-L1 and HLA-G in lip squamous cell carcinoma (LSCC) and actinic cheilitis (AC), focusing on their influence on T-cell effectiveness and tumor immune escape.* -
  • Results showed that PD-L1 and HLA-G expression was significantly higher in LSCC and AC compared to healthy lip tissue, with notable correlations between PD-L1, CD8, and granzyme B indicating an immune response, especially in tumors with metastasis.* -
  • The findings suggest that immune evasion through PD-L1 and HLA-G may occur early in lip cancer development, highlighting the potential for therapeutic strategies that block these pathways to enhance anti-tumor responses.*
View Article and Find Full Text PDF

Background: Few studies regarding the distribution of pediatric oral diseases are available. Thus, the aim of this study was to investigate the incidence and demographic profile of neoplasms and non-neoplastic lesions among children and adolescents (0-19 years old).

Methods: A retrospective descriptive cross-sectional study was performed and data regarding gender, age, anatomical location, and histopathological diagnosis were collected and categorized.

View Article and Find Full Text PDF

The aim of this study was to evaluate the efficacy of low-level laser therapy (LLLT) and alpha-lipoic acid (ALA) in the treatment of burning mouth syndrome (BMS) and secondary oral burning (SOB) by unstimulated sialometry, symptom assessment, and measurement of salivary TNF-α levels. Forty-four patients were randomized into four treatment groups: BMS/laser (n = 10), BMS/ALA (n = 5), SOB/laser (n = 15), and SOB/ALA (n = 14). The control group consisted of eight healthy female subjects.

View Article and Find Full Text PDF

Objective: Actinic cheilitis (AC) is a potentially malignant lesion caused by prolonged exposure to ultraviolet light. The aim of this research was to analyze the efficacy of diclofenac sodium 3% gel in the treatment of this condition, through clinical follow-up.

Methods: Thirty-one patients diagnosed with AC were instructed to perform a topical application of the gel three times a day for a period of 90 days.

View Article and Find Full Text PDF

Subgemmal neurogenous plaque (SNP) is a biphasic neural structure associated with the taste buds. Clinically, SNP usually presents as an asymptomatic, normally colored, papule located in the posterior lateral border of the tongue. Accurate diagnosis is based only on histopathological examination, which shows a superficial neurofibroma-like pattern and a neuroma-like in the deep zone.

View Article and Find Full Text PDF

Purpose: The objective of this review was to identify clinical and pathologic factors related to the prognosis of oral squamous cell carcinoma in young patients.

Materials And Methods: We conducted a literature search of articles indexed in PubMed (MEDLINE), Scopus, and Science Direct. Prospective and retrospective cohort studies published in English, Portuguese, or Spanish were included.

View Article and Find Full Text PDF
Article Synopsis
  • Angiolymphoid Hyperplasia with eosinophilia (ALHE) is a rare, benign vascular lesion mainly affecting the skin and subcutaneous tissues, particularly in the head and neck, but it is rarely found in the oral cavity.
  • The cause of ALHE is not well understood and it may be classified as a reactive vascular proliferation, vascular malformation, or neoplasm, with Kimura's disease being a key condition in the differential diagnosis.
  • A case study reported a 50-year-old male with a nodular swelling on the upper lip that persisted for 7 years, which upon excisional biopsy, revealed a well-encapsulated, multi-lobed lesion consisting of blood capillaries, lymphocytes,
View Article and Find Full Text PDF

The aim of this study was to investigate the influence of digital radiographic display on caries detection and choice of treatment among undergraduate students. Forty images of extracted human teeth were acquired using a PSP digital system. The proximal surfaces were evaluated for the presence of proximal caries and choice of treatment by 36 undergraduate students, divided into three groups according to the semester they were taking.

View Article and Find Full Text PDF

Objective: This study aims to assess the relationship between the inferior alveolar canal (IAC) and inferior third molars using digital panoramic images (DPI) with and without enhancement and compare the panoramic signs with cone beam computed tomography (CBCT) findings.

Methods: The DPIs and CBCT of 50 patients were analyzed. The DPIs were copied and enhanced using edge enhancement and an invert tool and then analyzed by two observers using the scores: darkening of the root; deflection of the root; narrowing of the root; superimposition of the root; bifurcation of the root over the IAC; diversion of the IAC; interruption of the cortex of the IAC, and no radiographic findings noted.

View Article and Find Full Text PDF