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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 -
Lateral Periodontal Cysts: a Retrospective Study of 11 Cases
Med Oral Patol Oral Cir Bucal. 2008 May1;13(5):E313-7. Lateral periodontal cyst Med Oral Patol Oral Cir Bucal. 2008 May1;13(5):E313-7. Lateral periodontal cyst Lateral periodontal cysts: A retrospective study of 11 cases María Florencia Formoso Senande 1, Rui Figueiredo 2, Leonardo Berini Aytés 3, Cosme Gay Escoda 4 (1) Resident of the Master of Oral Surgery and Implantology. University of Barcelona Dental School (2) Associate Professor of Oral Surgery. Professor of the Master of Oral Surgery and Implantology. University of Barcelona Dental School (3) Professor of Oral Surgery. Professor of the Master of Oral Surgery and Implantology. Dean of the University of Barcelona Dental School (4) Chairman of Oral and Maxillofacial Surgery. Director of the Master of Oral Surgery and Implantology. University of Barcelona Dental School. Oral and maxillofacial surgeon of the Teknon Medical Center, Barcelona (Spain) Correspondence: Prof. Cosme Gay Escoda Centro Médico Teknon C/ Vilana 12 08022 – Barcelona (Spain) E-mail: [email protected] Formoso-Senande MF, Figueiredo R, Berini-Aytés L, Gay-Escoda C. Received: 20/04/2007 Lateral periodontal cysts: A retrospective study of 11 cases. Med Oral Accepted: 29/03/2008 Patol Oral Cir Bucal. 2008 May1;13(5):E313-7. © Medicina Oral S. L. C.I.F. B 96689336 - ISSN 1698-6946 http://www.medicinaoral.com/medoralfree01/v13i5/medoralv13i5p313.pdf Indexed in: -Index Medicus / MEDLINE / PubMed -EMBASE, Excerpta Medica -SCOPUS -Indice Médico Español -IBECS Abstract Objective: To describe the clinical, radiological and histopathological features of lateral periodontal cysts among patients diagnosed in different centers (Vall d’Hebron General Hospital, Granollers General Hospital, the Teknon Medical Center, and the Master of Oral Surgery and Implantology of the University of Barcelona Dental School; Barcelona, Spain). -
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. -
Atypical Presentation of Lateral Periodontal Cyst in an Elderly Female Patient – a Rare Case Report
Journal of Dentistry Indonesia 2016, Vol. 23, No.1, xx-xx doi:10.14693/jdi.v23i1.xxx Journal of Dentistry Indonesia 2016, Vol. 23, No.1, 25-27 doi:10.14693/jdi.v23i1.967 CASE REPORT Atypical Presentation of Lateral Periodontal Cyst in an Elderly Female Patient – A Rare Case Report Renita Lorina Castelino, Kumuda Rao, Supriya Bhat, Subhas Gogineni Babu Department of Oral Medicine and Radiology, A B Shetty Memorial Institute of Dental Sciences, Nitte University, Mangalore 575018, India Correspondence e-mail to: [email protected] ABSTRACT The lateral periodontal lateral cyst (LPC) is an uncommon developmental odontogenic cyst defined as a radiolucent lesion which develops along the lateral aspect of an erupted vital tooth. LPC represents approximately 0.8% to 2% of all odontogenic cysts. The most frequently reported location of a lateral periodontal cyst is the mandibular canine- premolar area, followed by the anterior region of the maxilla. The lateral periodontal cyst is usually asymptomatic and presents as a round, oval or teardrop-like well-circumscribed inter-radicular radiolucent area, usually with a sclerotic margin lying between the apex and cervical margin of the teeth. The lateral periodontal cyst usually is seen in the fifth to sixth decade of life with a male preponderance. This paper reports an atypical case of an inter-radicular radiolucent cystic lesion in located between the mandibular central incisor and the canine area in an 87-year-old female patient mimicking clinically and radiographically as a residual cyst -
A New Approach for the Treatment of Lateral Periodontal Cysts with an 810-Nm Diode Laser
e120 A New Approach for the Treatment of Lateral Periodontal Cysts with an 810-nm Diode Laser Gaetano Isola, DDS, PhD, PG Oral Surg1 A lateral periodontal cyst (LPC) is Giovanni Matarese, DDS2/Giuseppe Lo Giudice, MD, DDS3 a rare but well-recognized type of Francesco Briguglio, DDS, PhD4/Angela Alibrandi, MD5 epithelial developmental odonto- Andrea Crupi, DDS, PhD4/Giancarlo Cordasco, MD, DDS6 genic cyst and has a prevalence of 7 Luca Ramaglia, DDS, PhD 1.5% among cysts of the jaw.1 LPCs are defined as radiolucent lesions The aim of this study was to test whether the combination of diode laser therapy that grow along the lateral surface and surgical treatment for a lateral periodontal cyst (LPC) would result in greater of an erupted vital tooth in which clinical improvement compared with surgery alone. A total of 18 patients with an inflammatory etiology has been LPCs were assessed for eligibility for this study. At baseline, each patient was excluded based on clinical and his- randomly allocated to one of two regimens: diode laser plus surgery (test group) 2 or traditional surgical treatment alone (control group). Healing parameters were tologic features. It has been hy- assessed at 7 to 21 days to monitor short-term complications, and periodontal pothesized that LPCs arise from the parameters were assessed at 3, 6, and 12 months to evaluate long-term healing. reduced enamel epithelium or the The test group demonstrated highly significant differences in both the short- epithelial rests of Malassez in the term and long-term parameters compared with the control group. -
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. -
Odontogenic Cysts II [PDF]
Odontogenic cysts II Prof. Shaleen Chandra 1 • Classification • Historical aspects • Odontogenic keratocyst • Gingival cyst of infants & mid palatal cysts • Gingival cyst of adults • Lateral periodontal cyst • Botroyoid odontogenic cyst • Galandular odontogenic cyst Prof. Shaleen Chandra 2 • Dentigerous cyst • Eruption cyst • COC • Radicular cyst • Paradental cyst • Mandibular infected buccal cyst • Cystic fluid and its role in diagnosis Prof. Shaleen Chandra 3 Gingival cyst and midpalatal cyst of infants Prof. Shaleen Chandra 4 Clinical features • Frequently seen in new born infants • Rare after 3 months of age • Undergo involution and disappear • Rupture through the surface epithelium and exfoliate • Along the mid palatine raphe Epstein’s pearls • Buccal or lingual aspect of dental ridges Bohn’s nodules Prof. Shaleen Chandra 5 • 2-3 mm in diameter • White or cream coloured • Single or multiple (usually 5 or 6) Prof. Shaleen Chandra 6 Pathogenesis Gingival cyst of infants • Arise from epithelial remnants of dental lamina (cell rests of Serre) • These rests have the capacity to proliferate, keratinize and form small cysts Prof. Shaleen Chandra 7 Midpalatal raphe cyst • Arise from epithelial inclusions along the line of fusion of palatal folds and the nasal process • Usually atrophy and get resorbed after birth • May persist to form keratin filled cysts Prof. Shaleen Chandra 8 Histopathology • Round or ovoid • Smooth or undulating outline • Thin lining of stratified squamous epithelium with parakeratotic surface • Cyst cavity filled with keratin (concentric laminations with flat nuclei) • Flat basal cells • Epithelium lined clefts between cyst and oral epithelium • Oral epithelium may be atrpohic Prof. Shaleen Chandra 9 Gingival cyst of adults Prof. Shaleen Chandra 10 Clinical features • Frequency • 0.5% • May be higher as all cases may not be submitted to histopathological examination • Age • 5th and 6th decade • Sex • No predilection • Site • Much more frequent in mandible • Premolar-canine region Prof. -
Gingival Cyst of Adults- Two Case Reports and Literature Review
https://doi.org/10.5272/jimab.2018242.2065 Journal of IMAB Journal of IMAB - Annual Proceeding (Scientific Papers). 2018 Apr-Jun;24(2) ISSN: 1312-773X https://www.journal-imab-bg.org Case reports GINGIVAL CYST OF ADULTS- TWO CASE REPORTS AND LITERATURE REVIEW Elitsa Deliverska1, Aleksandar Stamatoski2 1) Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Medical University – Sofia, Bulgaria. 2) Department of maxillofacial surgery, Faculty of Dental Medicine, Ss. Cyril and Methodius University- Skopje, Macedonia. ABSTRACT usually found in the incisor, canine, and premolar areas. Background: Gingival cyst of adult is an [1, 3, 4] uncommon, small, non inflammatory, extra-osseous, Clinically, the gingival cysts may certainly occur developmental cyst of gingiva arising from the rests of without bone involvement and may appear as painless, dental lamina. small sessile soft tissue swellings, usually involving the Purpose: The aim of our paper is to present two rare interdental area of the attached gingiva. clinical cases of gingival cyst of adult. These lesions measure about 0.5 to 1 cm in diameter. Material and methods: In the present cases, the They are often bluish or blue-gray due to thinning of the combined anatomic characteristics of the soft tissue overlying mucosa. In some instances, the cyst may cause presentation and the osseous defect suggest that the lesion slight erosion of the surface of the bone, which is usually is a gingival cyst of adult. Two cases of gingival cyst were not detected on a radiograph but is apparent during surgical diagnosed and treated with exicisional biopsy followed by exploration. -
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.