scholarly journals Extensive dentigerous cyst associated with a maxillary mesiodens in a 55-year-old male – case report and literature review

2019 ◽  
Vol 65 (2) ◽  
Author(s):  
Aleksandra Rubinkiewicz ◽  
Maciej Sikora ◽  
Marcin Sielski ◽  
Agata Stąpor ◽  
Dariusz Chlubek

Supernumerary teeth as mesiodentes in adults are a rare condition. Given that mesiodentes often interfere with the eruption of normal permanent incisors, the majority are diagnosed in teenagers. In some cases, this pathology is associated with the presence of a dentigerous cyst. Imaging techniques play a significant role in the diagnosis of cysts, particularly cone beam computed tomography (CBCT). Once the correct diagnosis is established, appropriate therapeutic measures – usually surgical – should be initiated promptly. The case presented here is that of a 55-year-old male with an extensive dentigerous cyst arising from a maxillary mesiodens. The decision was made to perform enucleation of the cyst along with the mesiodens inside it. The procedure was performed under general anesthesia. No complications were observed in the postoperative period. The histopathology report confirmed a dentigerous cyst. Radiograph images obtained 10 months postsurgery showed spontaneous bone tissue reconstruction.

Author(s):  
Ana Luiza Lataliza COSTA ◽  
Ana Luísa Machado BATISTA ◽  
Sara Ferreira dos Santos COSTA ◽  
Juliana Vilela BASTOS ◽  
Roselaine Moreira Coelho MILAGRES ◽  
...  

ABSTRACT Exostoses or hyperostoses are benign bony outgrowths originating from the cortical bone and depend on their location for a more precise designation. The most common types found in the oral cavity are the torus palatinus and the torus mandibularis. Buccal and palatal exostoses are located along the buccal aspect of the maxilla and/or the mandible (commonly in the premolar and molar areas) and on the palatal aspect of the maxilla (usually in the tuberosity area), respectively. The etiology of exostoses still hasn’t been enlightened but an interaction between environmental and genetic factors is accredited. They are usually asymptomatic, unless the mucosa becomes ulcerated. The frequency of exostoses increases with age, having their biggest prevalence from 60 years old, being more common in men and suffering ethnic influences. A thorough evaluation is important for the correct diagnosis since other lesions have similar clinical characteristics to the exostoses such as osteomas. The majority of exostoses are diagnosed clinically along with radiographic interpretations, making the biopsy dispensable and the treatment is usually unnecessary. The aim of this article was to describe a case report of bilateral maxillary exostosis, unusual, in a female patient. If an excessive amount of bone is present the exostoses may exhibit a relative radiopacity on dental radiographs. Initially, periapical and panoramic radiographs were performed to evaluate the alterations. Due to the size of the exostoses a concomitant Cone Beam Computed Tomography was performed to confirm the diagnosis. The patient is in follow-up.


2021 ◽  
Vol 10 (2) ◽  
pp. e25010211320
Author(s):  
Sandy Rabelo Lima ◽  
Denise Hélen Imaculada Pereira de Oliveira ◽  
Francisca Damares da Silva Mesquita ◽  
Eduardo José Guerra Seabra ◽  
Patrícia Bittencourt Dutra dos Santos ◽  
...  

Endodontic perforations are defined as a iatrogenic mechanical communication between the root canal and supporting periodontal tissues. Dental imaging techniques are essential for satisfactory detection of these conditions. The purpose of this study was to describe the clinical case of a patient diagnosed with endo-periodontal cystic lesion by endodontic perforation by cone beam computed tomography (CBCT). A 67-year-old female patient who required oral rehabilitation treatment with an implant-supported denture in the posterior mandible was seen at the Dental Clinic of the State University of Rio Grande do Norte (UERN). Based on the data collected during clinical examination, complementary tests were requested for assessment of his overall dental condition. Periapical radiography revealed the presence of a lesion in the apex of tooth 22, which was associated with an endodontic lesion. CBCT showed a lateral lesion caused by root perforation suffered during prior endodontic treatment. After histopathological analysis, the diagnosis was a radicular cyst. This study highlights the importance of CBCT imaging for establishment of the correct diagnosis, treatment planning, and prevention of complications.


2018 ◽  
Vol 25 (1) ◽  
pp. 31-38
Author(s):  
Amani A. Al Tuwirqi ◽  
Nabil O. Khzam

Dentigerous cysts are developmental odontogenic jaw cysts. Dentigerous cysts require early detection and prompt treatment ranging from marsupialization to complete enucleation. Few of these cysts have been reported in children younger than 12 years of age. The purpose of this case report was to describe the case of an 11-year-old boy with a dentigerous cyst associated with unerupted right mandibular canine. The clinical, radiographic and histopathologic features are discussed. This case report also describes the diagnosis of a mandibular dentigerous cyst using cone beam computed tomography, successful use of conservative enucleation and explains the need for such a radical treatment approach.  


2017 ◽  
Vol 10 (2) ◽  
pp. 213-216 ◽  
Author(s):  
BS Mahesh ◽  
Shilpa P Shastry ◽  
Padmashree S Murthy ◽  
TR Jyotsna

ABSTRACT Aim To report a rare case of large radicular cyst-associated deciduous tooth and to discuss the importance of cone beam computed tomography (CBCT) in diagnosing the condition. Background Radicular cyst is the most common cyst affecting the permanent teeth, but its occurrence in deciduous teeth is rare. Most of the radicular cysts are asymptomatic and are discovered accidentally when radiographs are taken. Conventional radiographs show two-dimensional images of three-dimensional objects. Cone beam computed tomography provides undistorted three-dimensional information of hard tissues and gives adequate spatial resolution. Case report A 7-year-old child, with a complaint of swelling in the maxillary anterior region, was diagnosed with radicular cyst in relation to primary maxillary right central incisor based on CBCT and histopathological features. Conclusion and clinical significance Early diagnosis and prompt treatment of radicular cyst in primary dentition is important to prevent damage to permanent tooth. How to cite this article Mahesh BS, Shastry SP, Murthy PS, Jyotsna TR. Role of Cone Beam Computed Tomography in Evaluation of Radicular Cyst mimicking Dentigerous Cyst in a 7-year-old Child: A Case Report and Literature Review. Int J Clin Pediatr Dent 2017;10(2):213-216.


2019 ◽  
Vol 11 (2) ◽  
pp. 39-45
Author(s):  
Pedro Diniz Rebouças ◽  
Lorena Walesca Macedo Rodrigues ◽  
Adriana Kelly de Sousa Santiago ◽  
Clarice Santana Milagres ◽  
Juliana Oliveira Gondim ◽  
...  

Intrusive luxation is a kind of traumatic injury characterized by an axial displacement of the tooth toward the alveolar bone. Its main causes are bicycle accidents, sports/recreational activities, and falls or collisions. Treatment strategies include waiting for the tooth to return to its position, immediate surgical repositioning and repositioning through dental traction by orthodontic devices. The correct diagnosis must be based on clinical and radiographic exams and it is crucial for decision-making in the treatment of injured patients. Currently, the cone beam computed tomography (CBCT) has been widely used in orthodontics, restorative dentistry and implantology as well as in the diagnosis of complex dental trauma. This article reports a case of severe dental intrusion, in which the cone beam computed tomography (CBCT) was performed because of doubts generated after clinical examination and panoramic radiograph analyze. This case report confirmed that the CBCT is an important exam to correct diagnostic.


2014 ◽  
Vol 25 (1) ◽  
pp. 79-82
Author(s):  
Thiago de Santana Santos ◽  
Erick Ricardo Silva ◽  
Ana Célia Faria ◽  
Francisco Veríssimo de Mello Filho ◽  
Samuel Porfírio Xavier

Supernumerary teeth (ST) are uncommon alterations of development that may appear in either of the dental arches and that are frequently associated with syndromes such as cleidocranial dysplasia and Gardner syndrome. Multiple ST in individuals with no other disease or syndrome are very rare. In view of this situation, correct diagnosis, treatment and evaluation of ST with the use of appropriate imaging techniques are highly important. This case report presents radiographic images of a nonsyndromic 12-year-old female patient who presented with 14 supernumerary teeth and was treated under general anesthesia, with the extraction of all ST in a single surgical intervention. During the postoperative period, the patient did not complain of pain nor did she present any signs or symptoms of infection. During late follow-up period, due to difficulty in traction of the maxillary right canine and mandibular left first premolar towards the dental arch, it was necessary to extract these teeth under local anesthesia. Radiographic examination 3 years after surgery revealed the absence of ST and of diseases related to the existence of these teeth.


2020 ◽  
Vol 3 (3) ◽  
pp. 5
Author(s):  
Nova Rosdiana ◽  
Belly Sam ◽  
Lusi Epsilawati

Objectives: This report is aimed to present a case about the resembling appearance of supernumerary teeth and odontoma in CBCT radiograph. Case Report: A female patient came to the radiology installation for CBCT examination of the maxillary anterior region. The patient brought a referral from the IKGA section with a diagnosis of tooth impaction 11 accompanied by odontoma. From the results of the CBCT examination, it was clear that radiopaque clearly demarcated with an irregular shape that had an enamel, dentinal structure with incomplete root formation. Conclusion: Odontoma has very similar appearance with supernumerary teeth in CBCT radiograph, understanding the specific characteristics is a need to help in diagnosis.  


2014 ◽  
Vol 7 (2) ◽  
pp. 85-91 ◽  
Author(s):  
Selmi Yardimci Yilmaz ◽  
Melda Misirlioglu ◽  
Mehmet Zahit Adisen

The purpose of this article is to present the case of maxillofacial trauma patient with maxillary sinus fracture diagnosed with cone-beam computed tomography (CBCT) and to explore the applications of this technique in evaluating the maxillofacial region. A 23-year-old male patient attempted to our clinic who had an injury at midface with complaints of swelling, numbness. The patient was examined before in emergency center but any diagnosis was made about the maxillofacial trauma. The patient re-examined clinically and radiographically. A fracture on the frontal wall of maxillary sinus is determined with the aid of CBCT. The patient consulted with the department of maxillofacial surgery and it is decided that any surgical treatment was not necessary. The emerging technique CBCT would not be the primary choice of imaging maxillofacial trauma. Nevertheless, when advantages considered this imaging procedure could be the modality of choice according to the case.


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