Skip to main content

Advertisement

Log in

Analysis of nine cases of oral foreign body granuloma related to biomaterials

  • Published:
Journal of Biosciences Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1
Figure 2
Figure 3

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

    Article  Google Scholar 

  • Bass LS 2015 Injectable filler techniques for facial rejuvenation, volumization, and augmentation. Facial Plast. Surg. Clin. North Am. 23 479–488

    Article  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • Consolaro A and Bittencourt G 2014 Overflow of filling material: Is it good or bad? Dental Press Endod. 4 18–25

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • Florin W and Mandel L 2012 Foreign body reaction to facial dermal fillers: Case report. J. Oral Maxillofac. Surg. 70 2352–2355

    Article  Google Scholar 

  • Genno NK and Assaf A 2014 Impression material mass retained in the mucobuccal fold. Case Rep. Dent. 2014 416965

    Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • Junkins-Hopkins JM 2010 Filler complications. J. Am. Acad. Dermatol. 63 703–705

    Article  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    CAS  Google Scholar 

  • Mazinis E, Lambrianidis T and Margelos J 2005 Detection of a residual foreign body during root canal treatment. J. Endod. 31 691–693

    Article  Google Scholar 

  • 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

    PubMed  PubMed Central  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    PubMed  PubMed Central  Google Scholar 

  • 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

    PubMed  PubMed Central  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pedro Paulo de Andrade Santos.

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

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s12038-019-9898-y

Keywords

Navigation