Abstract
Foreign bodies can penetrate the interior of soft and, sometimes, hard, tissues in various ways, including through open wounds, lacerations and traumatic accidents. However over the years, evidence of links between the use of dental materials and lately, significant involvement of aesthetic filler materials as foreign bodies in the oral and perioral region have been reported. Foreign body granulomas (FBGs) may develop from this exogenous material, histopathologically characterized by the presence of chronic inflammation and a high amount of macrophages. This study presents nine FBG cases affecting the oral and perioral regions, and carries out a literature review on the main clinical, histopathological and material characteristics used in dental and dermatological procedures related to the appearance of this type of granuloma.
Similar content being viewed by others
References
Alcântara CEP, Noronha MS, Cunha JF, Flores IL and Mesquita RA 2017 Granulomatous reaction to hyaluronic acid filler material in oral and perioral region: A case report and review of literature. J. Cosmet. Dermatol. 1–6 https://doi.org/10.1111/jocd.12374
Bass LS 2015 Injectable filler techniques for facial rejuvenation, volumization, and augmentation. Facial Plast. Surg. Clin. North Am. 23 479–488
Chiang YZ, Pierone G and Al-Niaimi F 2017 Dermal fillers: Pathophysiology, prevention and treatment of complications. J. Eur. Acad. Dermatol. Venereol. 31 405–413
Consolaro A and Bittencourt G 2014 Overflow of filling material: Is it good or bad? Dental Press Endod. 4 18–25
Costa Miguel MC, Nonaka CFW, dos Santos JN, Germano AR and Souza LB 2009 Oral foreign body granuloma: Unusual presentation of a rare adverse reaction to permanent injectable cosmetic filler. Int. J. Oral Maxillofac. Surg. 38 385–387
Edwards PC, Fantasia JE and Iovino R 2006 Foreign body reaction to hyaluronic acid (Restylane): An adverse outcome of lip augmentation. J. Oral Maxillofac. Surg. 64 1296–1299
El-Khalawany M, Fawzy S, Saied A, Al Said M, Amer A and Eassa B 2015 Dermal filler complications: A clinicopathologic study with a spectrum of histologic reaction patterns. Ann. Diagn. Pathol. 19 10–15
Florin W and Mandel L 2012 Foreign body reaction to facial dermal fillers: Case report. J. Oral Maxillofac. Surg. 70 2352–2355
Genno NK and Assaf A 2014 Impression material mass retained in the mucobuccal fold. Case Rep. Dent. 2014 416965
Grippaudo FR, Di Girolamo M, Mattei M, Pucci E and Grippaudo C 2014 Diagnosis and management of dermal filler complications in the perioral region. J. Cosmet. Laser Ther. 16 246–252
Jham BC, Nikitakis NG, Scheper MA, Papadimitriou JC, Levy BA and Rivera H 2009 Granulomatous foreign-body reaction involving oral and perioral tissues after injection of biomaterials: A series of 7 cases and review of the literature. J. Oral Maxillofac. Surg. 67 280–285
Junkins-Hopkins JM 2010 Filler complications. J. Am. Acad. Dermatol. 63 703–705
Koppang HS, Roushan A, Srafilzadeh A, Stølen SØ and Koppang R 2007 Foreign body gingival lesions: Distribution, morphology, identification by X-ray energy dispersive analysis and possible origin of foreign material. J. Oral Pathol. Med. 36 161–172
Lee JJ, Wang YP, Wu YH and Chang JYF 2017 Poly-L-lactic acid injection-induced delayed-onset foreign body granuloma. J. Formos. Med. Assoc. 116 402–403
Marusza W, Mlynarczyk G, Olszanski R, Netsvyetayeva I, Obrowski M, Iannitti T and Palmieri B 2012 Probable biofilm formation in the cheek as a complication of soft tissue filler resulting from improper endodontic treatment of tooth 16. Int. J. Nanomed. 7 1441–1447
Mazinis E, Lambrianidis T and Margelos J 2005 Detection of a residual foreign body during root canal treatment. J. Endod. 31 691–693
Plascencia H, Cruz A, Solís R, Díaz M and Vázquez J 2014 Iatrogenic displacement of a foreign body into the periapical tissues. Case Rep. Dent. 2014 698538
Pontes HAR, Pontes FSC, Oliveira GF, Almeida HM, Guimarães DM and Cavallero FC 2012 Uncommon foreign body reaction caused by botulinum toxin. J. Craniofac. Surg. 23 e303–e305
Quirino MRS, Neves ACC, Campos MS, Brandão AAH and Anbinder AL 2012 Oral granuloma formation after injection of cosmetic filler. J. Craniomaxill. Surg. 40 e194–e197
Rai H, Shaila M, Ghosh G and Suhasini PD 2015 Foreign body giant cell granuloma of the mandible subsequent to endodontic surgery. J. Contemp. Dent. 5 178–180
Requena L, Requena C, Christensen L, Zimmermann US, Kutzner H and Cerroni L 2011 Adverse reactions to injectable soft tissue fillers. J. Am. Acad. Dermatol. 64 1–34
Shahrabi-Farahani S, Lerman MA, Noonan V, Kabani S and Woo SB 2014 Granulomatous foreign body reaction to dermal cosmetic fillers with intraoral migration. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. 117 105–110
Shahravan A, Jalali S, Mozaffari B and Pourdamghan N 2012 Overextension of nonsetting calcium hydroxide in endodontic treatment: Literature review and case report. Iran Endod. J. 7 102–108
Yamamoto K, Nakayama Y, Matsusue Y, Kurihara M, Yagyuu T and Kirita T 2017 A foreign body granuloma of the buccal mucosa induced by honeybee sting. Case Rep. Dent. 2017 7902978
Ye Q, Harmsen MC, van Luyn MJA and Bank RA 2010 The relationship between collagen scaffold cross-linking agents and neutrophils in the foreign body reaction. Biomaterials 31 9192–9201
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This study was approved by the UFRN Research Ethics Committee, Natal, Brazil (number 1.883.170).
Informed consent
Informed consent was obtained from all individual participants included in the study.
Additional information
Communicated by Rita Mulherkar.
Corresponding editor: Rita Mulherkar
Rights and permissions
About this article
Cite this article
Rolim, L.S.A., da Silva Barros, C.C., Pinheiro, J.C. et al. Analysis of nine cases of oral foreign body granuloma related to biomaterials. J Biosci 44, 78 (2019). https://doi.org/10.1007/s12038-019-9898-y
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s12038-019-9898-y