Delgado-Camacho SS, Zeta-Castañeda E, Lara-Carillo E, Morales-Valenzuela AA, Salmerón-Valdés EN, Delgado-Campoy M, Toral-Rizo VH

Language: Spanish
References: 20
Page: 371-377
PDF size: 4188.10 Kb.

ABSTRACT

Introduction: subgemal neurogenic plaque (SNP) is a normal neurosensory anatomical structure, located on the posterior lateral borders of the tongue, which can cause painful or burning symptoms in the presence of trauma in the area. Literature in English and Portuguese was reviewed in PubMed and Google-Scholar. Presentation of cases: four cases of SNP that presented to our clinic were selected, three women and one man, aged 33, 43, 44 and 58 years respectively. Three patients presented a papule on the right posterolateral border of the tongue. Among the clinical diagnoses for which they arrived: in two there was suspicion of HPV and in the remaining two without a defined clinical diagnosis. Two patients reported burning, one reported pain, and one was asymptomatic. The treatment plan was different according to each case and was based on low-power laser therapy and surgery. Results: asymptomatic patients were informed of SNP. At follow-up appointments, symptomatic cases reported remission of symptoms. Conclusions: understanding the PNS is crucial to avoid unnecessary biopsies and to know appropriate treatments for the associated symptoms. It is imperative that the dentist identifies this region and can adequately inform the patient regarding its management.

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