scholarly journals Management of Large Residual Cyst in Elderly Patient with Decompression Alone: Case Report

2018 ◽  
Vol 22 (3) ◽  
pp. 171-174 ◽  
Author(s):  
Damla Torul ◽  
Mehmet Cihan Bereket ◽  
Enes Özkan

SummaryBackground/Aim:Residual cysts comprise approximately 10% of all odontogenic cysts. They are more commonly seen in 4th-6th decades of life, and occur due to incomplete previous surgical removal of a radicular cyst; or due to left epithelial remnants stimulated by tooth extraction. These lesions are often treated with enucleation. However, this procedure is not always the ideal treatment solution for elderly people due to the presence of physical and mental disorders, and risk of jaw fracture.Case Report: In this case report, the successful treatment of a large residual cyst in the symphysis of a 93 year-old female patient by performing decompression alone is presented. A plastic drain was placed on the wall of the cyst to allow irrigation. Regeneration was observed in the cyst cavity 3 months after surgery. The 1-year follow up showed that the majority of the cyst cavity was filled with new bone.Conclusions: In elderly patients, large inflammatory cysts can be successfully treated with decompression considering the limited regeneration capacity and difficulties in follow-up.

1996 ◽  
Vol 82 (6) ◽  
pp. 616-620 ◽  
Author(s):  
Riccardo Caruso ◽  
Mariano Antonelli ◽  
Luigi Cervoni ◽  
Maurizio Salvati

Aims and Background Intramedullary teratoma is an extremely exceptional tumor (5 cases), although a careful review of international literature has shown it to be more frequent (32 cases) than believed. Methods The authors present a personal case with some unusual aspects. Results Our case is unusual not only because it was diagnosed by MRI (only one case has been reported in the literature) but also because surgical removal of the tumor was apparently total (only 4 other cases have been described), with a long follow-up period (4.5 years) and excellent results, in clinical and neuroradiologic terms.


2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
P. Santander ◽  
E. M. C. Schwaibold ◽  
F. Bremmer ◽  
S. Batschkus ◽  
P. Kauffmann

Background. We report a case of multiple keratocysts first diagnosed in an 8-year-old boy. Case report. The incidental radiographic finding of a cystic lesion in an 8-year-old boy led to the surgical enucleation and further diagnosis of a keratocyst associated with a tooth crown. In the course of dental maturation from deciduous to permanent teeth, the boy presented new lesions, always associated with the crowns of teeth. Gorlin-Goltz (nevoid basal-cell carcinoma) syndrome was suspected, and the genetic analysis detected a previously undescribed germline variant in the PTCH1 gene. Treatment. This included a surgical removal of the cystic lesions, as well as the affected teeth. Follow-up. Due to the high recurrence rate of the keratocysts, frequent radiological checks were performed over a 5-year period.


2018 ◽  
Vol 35 (4) ◽  
pp. 252-258 ◽  
Author(s):  
Ju-ran Kim ◽  
Han Mi Gong ◽  
Seungah Jun ◽  
Jung Hee Lee ◽  
Bong Hyo Lee ◽  
...  

2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Yee Woo Yap ◽  
Azillah Mohd Ali

Introduction: Dentigerous cyst is the most common odontogenic cysts that are associated with the crowns of permanent teeth. Treatment modalities normally include enucleation or marsupialization of the cyst. However, currently there are no standard assessment criteria to dictate which kind of treatment for certain cases. The purpose of this report is to describe the successful outcome of conservative surgical management of a large dentigerous cyst associated with an unerupted right maxillary permanent canine in an 8-year-old boy. The cyst was enucleated partially but leaving the cystic lining surrounding the unerupted canine in order to preserve the tooth. 3-year follow up revealed good healing with significant root formation and tooth eruption.


2017 ◽  
Vol 65 (3) ◽  
pp. 265-269
Author(s):  
Cintia Gollo PIVA ◽  
Daniela Cristina MIYAGAKI ◽  
Maria Salete LINDEN ◽  
Ferdinando DE CONTO ◽  
Isadora RINALDI ◽  
...  

ABSTRACT The ameloblastic fibro-odontoma is a benign, mixed, asymptomatic and rare odontogenic tumor that can easily be confused radiographically and histologically with other diseases. Usually it affects a population between the first and second decades of life, is more frequent in the mandible and shows predilection for males. This lesion, characterized by dental agenesis at the tumor site, has no predilection for anatomical region; however, an increase of intraoral volume may cause mild facial asymmetry. It shows slow but expansive growth, and is a well-defined radiolucent lesion, usually unilocular, with radiopacity inside. Normally surgical removal is conservative and the prognosis is favorable. This article reports a case of ameloblastic fibro-odontoma treated by surgical removal and follow-up of two years. The aim of this work was to study the ameloblastic fibro-odontoma in its entirety, seeking to inform clinicians about the best diagnostic and treatment methods for this type lesion.


RSBO ◽  
2017 ◽  
Vol 14 (2) ◽  
pp. 120-03
Author(s):  
Vitor Hugo Candido Ferreira ◽  
Guilherme Strujak ◽  
João Luiz Carlini

Impacted teeth with complete root formation in adult patients is challenging for both the surgeon and orthodontist. Described for more than 40 years and still rarely used, the technique of tooth alveolus repositioning has excellent treatment results in these cases. Objective: To report the case of a impacted canine in an adult patient, not responsive to standard surgical orthodontic traction, managed through the technique of tooth alveolus repositioning. Case report: Male patient, 28 years old, with presence of tooth #23 impacted and with no success to standard surgical orthodontic traction. To return the tooth in position and function the treatment performed was repositioning the alveolar block. After two years of follow-up the tooth stays in the ideal position, without root resorption and with pulp vitality. Conclusion: The tooth alveolus repositioning proved to be a good treatment option, restoring function and esthetics and reaching the expectations of both the patient and professionals.


2014 ◽  
Vol 133 (1) ◽  
pp. 55-59 ◽  
Author(s):  
Zhe An ◽  
Yu-quan He ◽  
Guo-hui Liu ◽  
Li-li Ge ◽  
Wen-qi Zhang

CONTEXT: In patients with acromegaly, cardiovascular complications are the main cause of death; sudden death has been associated with ventricular tachyarrhythmias. In other patients with life-threatening malignant ventricular tachyarrhythmias, surgical placement of an implantable cardioverter-defibrillator (ICD) has proved highly effective in reducing sudden death rates. CASE REPORT: The present article reports the case of a 50-year-old male acromegalic patient who presented symptoms of syncope induced by ventricular tachycardia. An ICD was surgically implanted and a pituitary adenoma, which was responsible for the acromegaly, was completely removed in the same procedure. The surgery was successful and the ventricular arrhythmias were effectively terminated. During six months of follow-up, no documented arrhythmic episodes occurred. CONCLUSION: In patients with acromegaly, malignant ventricular tachyarrhythmia might be effectively controlled by implantation of an ICD and surgical removal of the pituitary adenoma.


Author(s):  
Getúlio Batista de Oliveira ◽  
◽  
Mariana de Almeida Basilio ◽  
Nara Santos Araujo ◽  
Patricia Ramos Cury ◽  
...  

For a long time, different approaches to minimize the dimensional ridge alteration following tooth extraction have been described even though none of them was capable to avoid alveolar bone loss. The Socket-Shield Technique (SST) seems to be an alternative for alveolar bone preservation in dental extraction planning. This technique conventionally uses a flapless approach and the buccal root portion retention to prevent bone loss. This case report describes the SST with an early implant placement in a patient who presented the nonrestorable tooth # 15 due to the extensive cavity. After six months of the implant placement a porcelain-fused-to-metal crown was fabricated and screwed into the implant with a satisfactory esthetic and functional result. The SST is a non-invasive and effective approach to tooth extraction and rehabilitation, especially in the aesthetic zone. Approximately two-year follow-up shows a satisfactory aesthetic maintenance.


2019 ◽  
pp. 18-22
Author(s):  
R. Muthunagai ◽  
Mudit Agarwal ◽  
R.Siva Sankary

Inflammatory odontogenic cysts are benign osteolytic asymptomatic lesions, but that, depending on the size, they can destroy the surrounding bone and let it infected. The term residual cyst is used most often for retained radicular cyst from teeth that has been removed. Residual cysts are among most common cysts of the jaws. This article aims to report characteristics and main aspects and highlighting the importance of the differential diagnosis for the treatment of these lesions. It can be concluded that early detection and accurate diagnosis are essential for the proper treatment of the residual cysts. Key Words- Residual cyst, radicular cyst, enucleation


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