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Pediatric Intraoral High-flow Arteriovenous Malformation: A Diagnostic Challenge.
MedLine Citation:
PMID:  25303512     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Arteriovenous malformations (AVMs) are rarely reported in the dental pediatric literature. They may develop adjacent to primary molars and can be life-threatening due to their potential for massive bleeding. The most common symptom associated with documented cases of AVMs is spontaneous gingival bleeding. Other clinical signs include pain, erythematous gingiva, resorption and mobility of teeth, soft tissue discoloration, facial swelling, and asymmetry. Radiographically, AVMs are osteolytic lesions. The purpose of this report was to describe the challenge of diagnosis of a high-flow arteriovenous malformation located in the primary maxillary molar region, which was misdiagnosed as a dentoalveolar abscess adjacent to previously treated primary molars. A decision to extract a tooth with gingival swelling and associated spontaneous bleeding should be made after the differential diagnosis of a vascular malformation has been ruled out.
Authors:
Roy Petel; Malka Ashkenazi
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric dentistry     Volume:  36     ISSN:  1942-5473     ISO Abbreviation:  Pediatr Dent     Publication Date:  2014  
Date Detail:
Created Date:  2014-10-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7909102     Medline TA:  Pediatr Dent     Country:  United States    
Other Details:
Languages:  eng     Pagination:  425-8     Citation Subset:  D; IM    
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