scholarly journals FISTULA MANAGEMENT DUE TO CHRONIC INFECTION OF RADICULAR CYST

2021 ◽  
Vol 1 (Volume 1 No 2) ◽  
pp. 209-218
Author(s):  
Tichvy Tammama ◽  
Winda Afrilia Megayanti

A radicular cyst is the most common odontogenic cyst that arises from the epithelial residues in the periodontal ligament due to periapical periodontitis following death and necrosis of the pulp. A fistula may form a cyst with a pulp infection that produces pus and seeks its way out to the gingival surface to create a canal. The purpose of this case report is to report the management of a patient with a chronically infected radicular cyst with fistula while retaining the involved tooth. A case report was a 13-year-old female patient who came to Department Oral Surgery of a hospital with a complaint of a lump in the front gum and palate that didn't heal for two years ago and often discharged pus. Intraoral examination showed a lump in the gingiva and palate with fistula in the interdental gingiva of teeth 11-12 with soft consistency and pain with palpation. Panoramic results showed characteristics of the radicular cyst at the 13-11 tooth region. The lesion is diagnosed as a chronic infection of a radicular cyst due to pulp necrosis in teeth 12-11 with interdental fistulas. Biopsy enucleation of the cyst was performed with teeth preservation. The patient was advised to have regular check-ups. On the sixth month of control, the surgical wound was good, without any complaints and signs of recurrence. The result is that a radicular cyst can become chronically infected and form a fistula that oozes pus into the oral cavity. The cyst can be treated with enucleation biopsy and fistulectomy with the preservation, without any recurrences.

2021 ◽  
Vol 45 (3) ◽  
pp. 199-203
Author(s):  
Flávia Sirotheau Correa Pontes ◽  
Lucas Lacerda de Souza ◽  
Luiza Teixeira Bittencourt de Oliveira ◽  
Waqas Khan ◽  
Michelle Carvalho de Abreu ◽  
...  

Odontogenic Keratocyst (OKC) is a benign, intraosseous, odontogenic cyst which originates from the basal cells of overlying epithelium or from the dental lamina remnants. Clinically, they are presented as asymptomatic swellings, although can sometimes be associated with pain. Growth of an OKC leads to expansion and destruction of bone as it infiltrates the tissue around it. It is commonly seen in males between the second and fourth decades of life. The aim of this study is to report on the clinicopathological characteristics of an odontogenic keratocyst in a 9-month-old female patient and posterior rehabilitation with a removable maxillary expander.


2021 ◽  
Vol 10 (33) ◽  
pp. 2847-2850
Author(s):  
Shahira Shahira ◽  
Biju Thomas ◽  
Amitha Ramesh ◽  
Santhosh Shenoy ◽  
Anegundi Raghavendra Vamsi

Peripheral ossifying fibroma (POF) is a reactive process of the gingiva that develops due to irritation or minor trauma. Females are more affected than males suggesting a hormonal influence. This case report describes a case of peripheral ossifying fibroma in a 48-year-old male patient in 33, 34 regions in contrast to its common occurrence in young females. Histopathological examination is necessary to confirm the diagnosis. Surgical excision is the treatment of choice to prevent recurrence. One year follow up of the case showed no signs of recurrence. Gingival overgrowth is a common feature of the various types of gingival disease in the oral cavity. Gingival diseases and conditions can be due to genetic disorder, specific infections, inflammatory and immune conditions and lesions, reactive processes, neoplasms, endocrine, nutritional, and metabolic diseases, traumatic lesions and gingival pigmentation.1 Reactive processes are non-neoplastic nodular swellings that develop in response to local irritation or minor trauma. The term epulis is exophytic processes confined to the gingiva.2 Kfir et al. classified epulides into fibrous epulis, peripheral ossifying fibroma, pyogenic granuloma (vascular epulis), peripheral giant cell granuloma (or central).3 Ossifying fibromas in the oral cavity can be classified into central and peripheral type. The central type expands from the medullary cavity of the bone, arising from the endosteum or the periodontal ligament (PDL) adjacent to the root apex. Peripheral type arises from the soft tissues overlying the alveolar process which is contiguous with the periodontal ligament. 4 This article presents a case of POF in a male patient.


2017 ◽  
Vol 16 ◽  
pp. 1-6
Author(s):  
Marcelo Carlos Bortoluzzi ◽  
Ramon Cesar Godoy Gonçalves ◽  
Cristina Maria de Freitas Zanellato ◽  
Juliana Cama Ramacciato ◽  
Roberto de Oliveira Jabur

Kaposi’s sarcoma (KS) is a locally aggressive multicentric mucocutaneous malignant neoplasm. The aim of this article is to report and discuss the immunohistochemical profile of a rare case of classic primary Oral Kaposi’s sarcoma presenting on the hard palate of a female patient which was non-HIV and was not immunocompromised.


2013 ◽  
Vol 4 (3) ◽  
pp. 214-216 ◽  
Author(s):  
Mridula Trehan ◽  
Prateek Agarwal ◽  
Abhishek Vashistha

ABSTRACT Cystic lesions are frequent in the oral cavity. They are defined as a pathologic cavity with or without fluid or semifluid material. Radicular cysts are the most common odontogenic cystic lesions of inflammatory origin affecting the jaws. They are most commonly found at the apices of the involved teeth. This case report presents the successful surgical management of large infected radicular cyst involving entire body region of right side of mandible. We illustrate the possibility of healing of cystic periapical lesions with conservation of vital structures. How to cite this article Agarwal P, Sharma S, Trehan M, Vashistha A. Management of Infected Radicular Cyst by Marsupialization. World J Dent 2013;4(3):214-216.


2019 ◽  
Vol 1 (Issue 1) ◽  
pp. 08-13
Author(s):  
Atousa Aminzadeh ◽  
Alireza Sadighi

Calcifying odontogenic cyst (COC) or calcifying cystic odontogenic tumor was first introduced in 1962 by Gorlin et al., as a possible oral counterpart of calcifying epitheliomas of Malherbe in skin. This lesion is a rare odontogenic lesion with variable clinico-histological characteristics. Three different histologic subtypes has been reported for COC. In this study we presented a female patient diagnosed with ameloblastomatous COC a very rare variant of this lesion and challenges regarding microscopic diagnosis and treatment of it is discussed.


2019 ◽  
pp. 1-2
Author(s):  
K. S Manjunath

The Dentigerous cysts are odontogenic cysts which originates from reduced enamel epithelium in an unerupted tooth or it encloses the crown of an unerupted or impacted tooth at cementoenamel junction, it is estimated to about 20% of all epithelium lined cysts and 2nd most common odontogenic cyst after radicular cyst. Here is a case report of dentigerous cyst of right maxilla which has been discussed below.


2019 ◽  
pp. 8-13
Author(s):  
Atousa Aminzadeh ◽  
Alireza Sadighi

Calcifying odontogenic cyst (COC) or calcifying cystic odontogenic tumor was first introduced in 1962 by Gorlin et al., as a possible oral counterpart of calcifying epitheliomas of Malherbe in skin. This lesion is a rare odontogenic lesion with variable clinico-histological characteristics. Three different histologic subtypes has been reported for COC. In this study we presented a female patient diagnosed with ameloblastomatous COC a very rare variant of this lesion and challenges regarding microscopic diagnosis and treatment of it is discussed.


Author(s):  
Yasmin Jeane Almeida Costa

RESUMO             O cisto inflamatório radicular é uma cavidade patológica verdadeiramente revestida por epitélio geralmente originária de um dente desvitalizado com necrose pulpar. Sua exérese, quando devidamente indicada, é necessária devido a possibilidade de alcançar grandes proporções provocando a destruição do tecido ósseo circundante, além de ser foco para o desenvolvimento de processos infecciosos. A técnica de enucleação cística com tratamento endodôntico retrógrado, permite que a lesão seja removida preservando-se os elementos dentários envolvidos. Este trabalho tem como objetivo relatar e discutir o caso clínico realizado nas clínicas de Cirurgia Oral Menor e Endodontia da Faculdade de Odontologia da Universidade Federal Fluminense (UFF). O exame histopatológico, realizado no Laboratório Associado de Pesquisa Clínica em Odontologia da UFF comprovou a suspeita diagnóstica inicial de cisto radicular. Concluímos que o tratamento do cisto radicular inflamatório é bastante previsível quando precedido de uma minuciosa abordagem clínica pré-operatória. A conduta terapêutica adotada para este caso foi correta e conduziu o paciente à cura, recebendo alta definitiva após dois anos de acompanhamento.Palavras-chave: Cirurgia Paraendodôntica. Cisto Radicular. Apicectomia. Cistos Odontogênicos. Enucleação Cística. Obturação Simultânea. ABSTRACT  The radicular inflammatory cyst is a pathological cavity truly lined with epithelium, usually originating from a devitalized tooth with pulp necrosis. Its excision, when properly indicated, is necessary due to the possibility of reaching large proportions destroying the surrounding bone tissue, besides being a focus for the development of infectious processes. The cystic enucleation technique with retrograde endodontic treatment allows the lesion to be removed while preserving the involved dental elements. This paper aims to report and to discuss the case report conducted at the Clinics of Minor Oral Surgery and Endodontics, Faculty of Dentistry, Fluminense Federal University (UFF). The histopathological examination, performed at the Associated Laboratory of Clinical Research in Dentistry of UFF, confirmed the initial diagnostic suspicion of root cyst. We conclude that the treatment of the inflammatory root cyst is quite predictable when preceded by a thorough preoperative clinical approach. The therapeutic approach adopted for this case was correct and led the patient to cure and was discharged after two years of follow-up.Keywords: Paraendodontic Surgery. Radicular Cyst. Apicoectomy. Odontogenic Cyst. Cystic Enucleation. Simultaneous Filling.


2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Narendra Varma Penumatsa ◽  
Srinivas Nallanchakrava ◽  
Radhika Muppa ◽  
Arthi Dandempally ◽  
Priyanaka Panthula

Radicular cyst is the most common odontogenic cystic lesion of inflammatory origin. It is also known as periapical cyst, apical periodontal cyst, root end cyst, or dental cyst. It arises from epithelial residues in the periodontal ligament as a result of inflammation. The inflammation usually follows the death of dental pulp. This paper presents a case report of a patient with radicular cyst associated with a primary molar.


2018 ◽  
Vol 42 (5) ◽  
pp. 383-385 ◽  
Author(s):  
Scott M Peters ◽  
David A Koslovsky ◽  
Angela J Yoon ◽  
Elizabeth M Philipone

Pyogenic granuloma, also called lobular capillary hemangioma, is a benign vascular lesion of the skin and mucous membranes. While the majority of pyogenic granulomas in the oral cavity involve the gingiva, they also infrequently present at other sites including lips, oral mucosa, palate, and tongue. We report a case of a pyogenic granuloma of the tongue in a five-year old female patient.


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