Normal Variations and Common Oral Lesions
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Surgical Approaches of Extensive Periapical Cyst
SURGICAL APPROACHES OF EXTENSIVE PERIAPICAL CYST. CONSIDERATIONS ABOUT SURGICAL TECHNIQUE Paulo Domingos Ribeiro Jr.1 Eduardo Sanches Gonçalves1 Eduardo Simioli Neto2 Murilo Rizental Pacenko3 1MSc in R I B E I RO, Paulo Domingos Jr. et al. Surgical approaches of ex t e n s ive Buccomaxilofacial p e r i a p i c a l cyst. Considerations about surgical technique. S a l u s v i t a , surgery and trauma - B a u r u, v. 23, n. 2, p. 317-328, 2004. tology. Dept. of Biological Sciences and Health ABSTRACT Professions – University of the Cystic lesions are frequent in the oral cavity. They are defined as a Sacred Heart, Bauru pathologic cavity with or without fluid or semi fluid material. The – SP. inflammatory lesions are more common, such as periapical cysts. These lesions are encountered in dental apex and the pulp necro s i s 2Graduation course on is a very important cause of these cysts. The treatment can be Buccomaxilofacial c o n s e r v a t i v e, like a biomechanic preparation of root, used when the surgery and lesion is localized, or the surgical treatment, like total or partial traumatology lesion re m oval. When the surgical treatment is realized, the – University of the Sacred Heart, m a r s u p i a l i z a t i o n or decompression can be done before, and an Bauru – SP. enucleation after if necessary, and can be done a total enucleation that enucleate the lesion in one surge r y. -
Glossary for Narrative Writing
Periodontal Assessment and Treatment Planning Gingival description Color: o pink o erythematous o cyanotic o racial pigmentation o metallic pigmentation o uniformity Contour: o recession o clefts o enlarged papillae o cratered papillae o blunted papillae o highly rolled o bulbous o knife-edged o scalloped o stippled Consistency: o firm o edematous o hyperplastic o fibrotic Band of gingiva: o amount o quality o location o treatability Bleeding tendency: o sulcus base, lining o gingival margins Suppuration Sinus tract formation Pocket depths Pseudopockets Frena Pain Other pathology Dental Description Defective restorations: o overhangs o open contacts o poor contours Fractured cusps 1 ww.links2success.biz [email protected] 914-303-6464 Caries Deposits: o Type . plaque . calculus . stain . matera alba o Location . supragingival . subgingival o Severity . mild . moderate . severe Wear facets Percussion sensitivity Tooth vitality Attrition, erosion, abrasion Occlusal plane level Occlusion findings Furcations Mobility Fremitus Radiographic findings Film dates Crown:root ratio Amount of bone loss o horizontal; vertical o localized; generalized Root length and shape Overhangs Bulbous crowns Fenestrations Dehiscences Tooth resorption Retained root tips Impacted teeth Root proximities Tilted teeth Radiolucencies/opacities Etiologic factors Local: o plaque o calculus o overhangs 2 ww.links2success.biz [email protected] 914-303-6464 o orthodontic apparatus o open margins o open contacts o improper -
Non-Surgical Management of Large Periapical Cyst Like Lesion: Case Report and Litterature Review
Open Access Journal of Oral Health and Dental Science Case Report ISSN: 2577-1485 Non-Surgical Management of Large Periapical Cyst Like Lesion: Case Report and Litterature Review Hammouti J1*, Chhoul H2 and Ramdi H2 1Resident, Faculty of Dental Medicine, Mohammed V University, Morocco 2Professor of Higher Education, Faculty of Dental Medicine, Mohammed V University, Morocco *Corresponding author: Hammouti J, Resident, Faculty of Dental Medicine, Dental Consultation and Treatment Center, Allal el Fassi Avenue, Mohammed Jazouli Street, Al Irfane City, BP 6212, Rabat–Institutes, Morocco, Tel: 00212665930945, E-mail: [email protected] Citation: Hammouti J, Chhoul H, Ramdi H (2019) Non-Surgical Management of Large Periapical Cyst Like Lesion: Case Report and Litterature Review. J Oral Health Dent Sci 3: 202 Article history: Received: 30 April 2019, Accepted: 21 May 2019, Published: 24 May 2019 Abstract This case report describes the non-surgical management of a large cyst-like periapical lesion in the mandible of an 11-year-old child with the chief complaint of periodic swelling from the mandibular anterior region with a history of traumatic accident in this area. Both mandibular left central and lateral incisors had enamel-dentin fracture. Root canals of these teeth were filled with calcium hydroxide. After 6 weeks, endodontic therapy was carried out on both teeth. Clinical and radiographic monitoring at 3 months revealed progressing bone healing. Complete periapical healing was observed at the 12 month recall. This report confirms that for management of a large periapical lesion the non-surgical procedure is essential and it can lead to complete healing of large lesions without invasive surgical treatments. -
Herpes Zoster Involving Maxillary and Mandibular Branch of Trigeminal
Herpes zoster infection in AIDS patient … Hiremutt D et al Journal of International Oral Health 2016; 8(4):523-526 th th Received: 07 November 2015 Accepted: 08 February 2016 Conflicts of Interest: None Case Report Source of Support: Nil Doi: 10.2047/jioh-08-04-23 Herpes Zoster Involving Maxillary and Mandibular Branch of Trigeminal Nerve in HIV Patient: A Case Report Darshan Hiremutt1, Amit Mhapuskar2, Kedarnath Kalyanpur3, Santosh Jadhav1, Abhijeet Jadhav1, Sukhpreet Singh Mangat4 Contributors: VZV may occur spontaneously or when host defenses are 1Assistant Professor, Department of Oral Medicine & Radiology, compromised. Increased age, physical trauma, (including Bharati Vidyapeeth Dental College & Hospital, Pune, Maharashtra, dental procedures), psychological stress, malignancy, 2 India; Professor & Head, Department of Oral Medicine & radiation therapy, and immunocompromised states including Radiology, Bharati Vidyapeeth Dental College & Hospital, 3 transplant recipients, steroid therapy, and HIV infection are Pune, Maharashtra, India; Senior Lecturer, Department of Oral predisposing factors for VZV reactivation.3 The predisposing Medicine & Radiology, Sinhgad Dental College & Hospital, factor in the present case was immunocompromised state of Pune, Maharashtra, India; 4Associate Professor, Department of Orthodontics, Index Institute of Dental Sciences, Indore the patient as the medical history of the patient revealed HIV Correspondence: infection which was diagnosed about 6 years back. Onunu Dr. Hiremutt D. Department of Oral Medicine & Radiology, and Uhunmwangho4 evaluated the clinical spectrum of HZ Bharati Vidyapeeth Dental College & Hospital, Pune, Maharashtra, in HIV-infected patients and found that the age distribution India. Email: [email protected] of the patients in the HIV-positive group was 36.1 ± 16.14 How to cite the article: years and infection was generally more severe in the presence Hiremutt D, Mhapuskar A, Kalyanpur K, Jadhav S, Jadhav A. -
Self-Study Course Three Course
2014 self-study course three course The Ohio State University College of Dentistry is a recognized provider for ADA, CERP, and AGD Fellowship, Mastership and Maintenance credit. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/goto/cerp. The Ohio State University College of Dentistry is approved by the Ohio State Dental Board as a permanent sponsor of continuing dental education ABOUT this FREQUENTLY asked COURSE… QUESTIONS… Q: Who can earn FREE CE credits? . READ the MATERIALS. Read and review the course materials. A: EVERYONE - All dental professionals in your office may earn free CE contact . COMPLETE the TEST. Answer the credits. Each person must read the eight question test. A total of 6/8 course materials and submit an questions must be answered correctly online answer form independently. for credit. us . SUBMIT the ANSWER FORM Q: What if I did not receive a ONLINE. You MUST submit your confirmation ID? answers ONLINE at: A: Once you have fully completed your p h o n e http://dent.osu.edu/sterilization/ce answer form and click “submit” you will be directed to a page with a . RECORD or PRINT THE 614-292-6737 unique confirmation ID. CONFIRMATION ID This unique ID is displayed upon successful submission Q: Where can I find my SMS number? of your answer form. -
1 – Pathogenesis of Pulp and Periapical Diseases
1 Pathogenesis of Pulp and Periapical Diseases CHRISTINE SEDGLEY, RENATO SILVA, AND ASHRAF F. FOUAD CHAPTER OUTLINE Histology and Physiology of Normal Dental Pulp, 1 Normal Pulp, 11 Etiology of Pulpal and Periapical Diseases, 2 Reversible Pulpitis, 11 Microbiology of Root Canal Infections, 5 Irreversible Pulpitis, 11 Endodontic Infections Are Biofilm Infections, 5 Pulp Necrosis, 12 The Microbiome of Endodontic Infections, 6 Clinical Classification of Periapical (Apical) Conditions, 13 Pulpal Diseases, 8 Nonendodontic Pathosis, 15 LEARNING OBJECTIVES After reading this chapter, the student should be able to: 6. Describe the histopathological diagnoses of periapical lesions of 1. Describe the histology and physiology of the normal dental pulpal origin. pulp. 7. Identify clinical signs and symptoms of acute apical periodon- 2. Identify etiologic factors causing pulp inflammation. titis, chronic apical periodontitis, acute and chronic apical 3. Describe the routes of entry of microorganisms to the pulp and abscesses, and condensing osteitis. periapical tissues. 8. Discuss the role of residual microorganisms and host response 4. Classify pulpal diseases and their clinical features. in the outcome of endodontic treatment. 5. Describe the clinical consequences of the spread of pulpal 9. Describe the steps involved in repair of periapical pathosis after inflammation into periapical tissues. successful root canal treatment. palisading layer that lines the walls of the pulp space, and their Histology and Physiology of Normal Dental tubules extend about two thirds of the length of the dentinal Pulp tubules. The tubules are larger at a young age and eventually become more sclerotic as the peritubular dentin becomes thicker. The dental pulp is a unique connective tissue with vascular, lym- The odontoblasts are primarily involved in production of mineral- phatic, and nervous elements that originates from neural crest ized dentin. -
Oral Pathology Final Exam Review Table Tuanh Le & Enoch Ng, DDS
Oral Pathology Final Exam Review Table TuAnh Le & Enoch Ng, DDS 2014 Bump under tongue: cementoblastoma (50% 1st molar) Ranula (remove lesion and feeding gland) dermoid cyst (neoplasm from 3 germ layers) (surgical removal) cystic teratoma, cyst of blandin nuhn (surgical removal down to muscle, recurrence likely) Multilocular radiolucency: mucoepidermoid carcinoma cherubism ameloblastoma Bump anterior of palate: KOT minor salivary gland tumor odontogenic myxoma nasopalatine duct cyst (surgical removal, rare recurrence) torus palatinus Mixed radiolucencies: 4 P’s (excise for biopsy; curette vigorously!) calcifying odontogenic (Gorlin) cyst o Pyogenic granuloma (vascular; granulation tissue) periapical cemento-osseous dysplasia (nothing) o Peripheral giant cell granuloma (purple-blue lesions) florid cemento-osseous dysplasia (nothing) o Peripheral ossifying fibroma (bone, cartilage/ ossifying material) focal cemento-osseous dysplasia (biopsy then do nothing) o Peripheral fibroma (fibrous ct) Kertocystic Odontogenic Tumor (KOT): unique histology of cyst lining! (see histo notes below); 3 important things: (1) high Multiple bumps on skin: recurrence rate (2) highly aggressive (3) related to Gorlin syndrome Nevoid basal cell carcinoma (Gorlin syndrome) Hyperparathyroidism: excess PTH found via lab test Neurofibromatosis (see notes below) (refer to derm MD, tell family members) mucoepidermoid carcinoma (mixture of mucus-producing and squamous epidermoid cells; most common minor salivary Nevus gland tumor) (get it out!) -
Large Periapical Cyst Regression by Endodontic Treatment
Large Periapical Cyst Regression by Endodontic Treatment Ana Flávia Almeida Barbosa1, Camila Soares Lopes1, Leopoldo Cosme Silva1, Idiberto José Zotarelli Filho2, Naiana Viana Viola Nicolí1 1Department of Clinics and Surgery, School of Dentistry, Federal University of Alfenas, Minas Gerais, Brazil, 2São Paulo State University (Unesp), Institute of Biosciences, Humanities and Exact Sciences (Ibilce), Campus São José do Rio Preto/SP Abstract The periapical cyst is a frequently found maxillary lesion associated with the apex of a tooth presenting pulpal necrosis. Usually asymptomatic, the cysts grow slowly and may be discovered in routine radiograph examinations. This case report relates the regression of a large periapical cystic lesion by endodontic treatment and drug therapy. A 41 years old female patient, T.A.B., came to the Student Dental Clinic I of the UNIFAL-MG complaining about pain on apical palpation and vertical percussion on teeth 31 and 41, showing swelling around the mentolabial sulcus. Looking into the patient’s dental records, it was noticed that an endodontic treatment had been performed on these two teeth presenting periapical cystic lesion four years earlier. A new radiograph showed that the endodontic treatment was deficient and that the lesion itself had expanded. The teeth 31 and 41 were retreated; a foraminal debridement was performed during the instrumentation along with three Calen/PMCC (SS White, Rio de Janeiro, RJ, Brazil) dressing changes with 30 days intervals between them. By applying puncture aspiration to the lesion, it was observed that the collected contents were yellowish, viscous and bloody, characterizing it as cystic fluid. Ninety days later, another periapical radiograph showed a nearly complete regression of the lesion; clinically the edema and symptoms have disappeared. -
Management of a Large Periapical Cyst: a Case Report Antriksh Azad, *H.R
Case Report Management of a Large Periapical Cyst: A Case Report Antriksh Azad, *H.R. Chourasia, *D. Singh, **I. Sharma, ***A. Azad, V. Pahlajani Department of Conservative Dentisry & Endodontics, Rishiraj College of Dental Sciences & R.C., Bhopal, *People’s College of Dental Sciences & R.C., Bhopal, **R.K.D.F. Dental College & R.C., Bhopal, ***Bhabha College of Dental Sciences & R.C., Bhopal (Received August, 2013) (Accepted December, 2013) Abstract: Traumatic injuries commonly affect the anterior teeth leading to slow death of the pulp. This may give rise to a periapical or radicular cyst which results from the proliferation of cell rests of Malassez following pulpal necrosis of a non- vital tooth. This condition is usually asymptomatic but can result in a slow-growth tumefaction in the affected region. On radiography the lesion can be seen as a round or oval, well circumscribed radiolucent area involving the apex of the infected tooth. Nonsurgical management should be the treatment of choice of a periapical cyst. However, periapical surgery can be considered, if the lesion is extensive and fails to respond to a nonsurgical approach. Key Words: Dental pulp necrosis, Non-vital tooth, Radicular cyst, Surgical cyst enucleation. Introduction: approximately 3 x 2 cms in size, extended 2 cms on the A periapical or radicular cyst arises from left and 1 cm on the right from the midline of the palate. epithelial cell rests of Malassez which proliferate by Anteroposteriorly, it extended 0.5 cm from the incisive an inflammatory process originating from pulpal papilla to 2 cms posteriorly. The swelling was tender necrosis of a non-vital tooth. -
Conservative Approach in the Management of Large Periapical Cyst-Like Lesions. a Report of Two Cases
medicina Case Report Conservative Approach in the Management of Large Periapical Cyst-Like Lesions. A Report of Two Cases Roxana M. Talpos-Niculescu 1,*,†, Malina Popa 2,†, Laura C. Rusu 3 , Marius O. Pricop 4, Luminita M. Nica 1,* and Serban Talpos-Niculescu 4 1 Discipline of Restorative Dentistry and Endodontics, Research Center TADERP, Faculty of Dental Medicine, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania 2 Discipline of Pedodontics, Pediatric Dentistry Research Center, Faculty of Dental Medicine, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania; [email protected] 3 Discipline of Oral Pathology, Multidisciplinary Center for Research, Evaluation, Diagnosis and Therapies in Oral Medicine, Faculty of Dental Medicine, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania; [email protected] 4 Discipline of Oral and Maxillo-Facial Surgery, Faculty of Dental Medicine, “Victor Babes” University of Medicine and Pharmacy, 300062 Timisoara, Romania; [email protected] (M.O.P.); [email protected] (S.T.-N.) * Correspondence: [email protected] (R.M.T.-N.); [email protected] (L.M.N.) † These authors contributed equally to this work. Abstract: Background and Objectives: Periapical cystic lesions are a pathology frequently addressed to endodontic specialists. Although their therapy is still not standardized, the treatment should be as conservative as possible and by endodontic means, as they are lesions of endodontic origin. The present case report describes two cases of upper central incisors with large cyst-like periapical Citation: Talpos-Niculescu, R.M.; lesions, and their one-year follow up. Materials and Methods: Endodontic orthograde treatment was Popa, M.; Rusu, L.C.; Pricop, M.O.; performed under copious irrigation with sodium hypochlorite, in association with calcium hydroxide Nica, L.M.; Talpos-Niculescu, S. -
Odontogenic Cysts, Odontogenic Tumors, Fibroosseous, and Giant Cell Lesions of the Jaws Joseph A
Odontogenic Cysts, Odontogenic Tumors, Fibroosseous, and Giant Cell Lesions of the Jaws Joseph A. Regezi, D.D.S., M.S. Oral Pathology and Pathology, Department of Stomatology, University of California, San Francisco, San Francisco, California ologic correlation in assessing these lesions is of Odontogenic cysts that can be problematic because particular importance. Central giant cell granuloma of recurrence and/or aggressive growth include is a relatively common jaw lesion of young adults odontogenic keratocyst (OKC), calcifying odonto- that has an unpredictable behavior. Microscopic di- genic cyst, and the recently described glandular agnosis is relatively straightforward; however, this odontogenic cyst. The OKC has significant growth lesion continues to be somewhat controversial be- capacity and recurrence potential and is occasion- cause of its disputed classification (reactive versus ally indicative of the nevoid basal cell carcinoma neoplastic) and because of its management (surgical syndrome. There is also an orthokeratinized vari- versus. medical). Its relationship to giant cell tumor of ant, the orthokeratinized odontogenic cyst, which is long bone remains undetermined. less aggressive and is not syndrome associated. Ghost cell keratinization, which typifies the calcify- KEY WORDS: Ameloblastoma, CEOT, Fibrous dys- ing odontogenic cyst, can be seen in solid lesions plasia, Giant cell granuloma, Odontogenic kerato- that have now been designated odontogenic ghost cyst, Odontogenic myxoma, Odontogenic tumors. cell tumor. The glandular odontogenic cyst contains Mod Pathol 2002;15(3):331–341 mucous cells and ductlike structures that may mimic central mucoepidermoid carcinoma. Several The jaws are host to a wide variety of cysts and odontogenic tumors may provide diagnostic chal- neoplasms, due in large part to the tissues involved lenges, particularly the cystic ameloblastoma. -
Koenig Odontgenic Lesionssubmission.Pptx
Disclosure Lisa J. Koenig BChD, DDS, MS Professor & Program Director, Oral Medicine and Oral Radiology Marquette University School of Dentistry Consultant to Soredex for the Scanora 3D and 3Dx Author/Editor Amirsys Educational Objectives Terminology Periapical vs periodontal Understand basic dental terminology Periapical is at the apex of the tooth. Understand the difference between and Lesions are a result of pulp death. recognize the radiographic appearance of “Vitality” testing is important in the dental world. common periapical lesions Periodontal – related to the supporting Recognize the most common dental cysts structure of the tooth: alveolar bone, lamina dura, periodontal ligament Recognize the most common odontogenic space. tumors Terminology Odontogenic Cysts Periapical vs periodontal Periapical (radicular)- most common cyst Periapical is at the apex of the tooth. Lesions are a result of pulp death. “Vitality” testing is important in the dental Residual world. Lateral periodontal Periodontal – related to the supporting structure of the tooth: alveolar bone, Botryoid lamina dura, periodontal ligament space. Periodontal disease causes bone loss of Dentigerous – second most common the alveolar crest (near the cervical margin of the tooth) not at the apex Keratocystic Odontogenic Tumor Cemento-enamel junction (CEJ) (formerly odontogenic keratocyst)? important landmark Normal alveolar crest should be < 2 mm from the CEJs Periapical Cyst Some general observations Lesions above the mandibular canal are likely odontogenic