| Buccal reaction to silicone cosmetic filler. | |
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MedLine Citation:
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PMID: 20123874 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Administering injections of dermal fillers has become a popular office procedure that is performed to restore facial volume, augment facial volume or both. Injectable silicone is a nonbiodegradable filler that was introduced 40 years ago. Adverse reactions can develop from its long-term presence in the body. CASE DESCRIPTION: The authors evaluated a 45-year-old woman who nine years previously had received bilateral silicone cosmetic filler injections in the malar regions of her face. Two years and again five years later, she developed painless buccal swellings on the right side of her face, but the condition regressed spontaneously. When a third episode of right buccal swelling persisted, she sought care. Therapy involving the use of antibiotic agents and steroids resolved the patient's reaction to the silicone, but the pathophysiology of the reaction has not been delineated clearly. CONCLUSION AND CLINICAL IMPLICATIONS: Dental practitioners may see orofacial inflammatory swellings initiated by a reaction to silicone. Differentiating it from facial cellulitis is essential. Practitioners should base their diagnoses of orofacial inflammatory swellings on patients' history of receiving injectable cosmetic filler. |
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Authors:
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Louis Mandel; Samuel Addison; Matthew Clark |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of the American Dental Association (1939) Volume: 141 ISSN: 1943-4723 ISO Abbreviation: J Am Dent Assoc Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-02-03 Completed Date: 2010-05-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7503060 Medline TA: J Am Dent Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 162-6 Citation Subset: D; IM |
Affiliation:
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Salivary Gland Center, and Division of Oral and Maxillofacial Surgery, Columbia University College of Dental Medicine, 630 W. 168th St., New York, NY 10032, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Biocompatible Materials
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adverse effects* Cellulitis / etiology*, pathology Cheek Cosmetic Techniques / adverse effects* Diagnosis, Differential Erythema / etiology Facial Dermatoses / etiology*, pathology Female Humans Injections, Intradermal Macrophages / pathology Middle Aged Silicone Gels / adverse effects* Subcutaneous Tissue / pathology |
| Chemical | |
Reg. No./Substance:
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0/Biocompatible Materials; 0/Silicone Gels |
| Comments/Corrections | |
Comment In:
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J Am Dent Assoc. 2010 May;141(5):498
[PMID:
20436089
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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