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Odontogenic Cyst Case

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uneventful. The histopathologic examination revealed a lesion composed of fibrous connective tissue infiltrated in many parts by chronic inflammatory cells. Cystic cavity lined by a thin stratified squamous epithelium and there was no evidences of malignancy. The case was diagnosed as radicular cyst. The patient was then scheduled for the remaining required dental treatment and was also referred for orthodontic evaluation. At 20 months recall radiographic and clinical evaluations indicated successful treatment (Fig 9). DISCUSSION Periapical cysts are the most widely recognized inflammatory odontogenic cysts. They involve a group of lesions that associate with non-vital teeth and those emerging from primary teeth are accounted to happen in mixed dentition with a rate of 0.5-3.3% [1]. …show more content…

Also, these lesions tend to obviate on their own following the extraction or exfoliation of the related tooth and are usually not submitted for histopathological investigation [11]. Histologically, there is no distinction between the cysts associated with primary teeth and those of permanent teeth with the exception of scarcity of cholesterol crystal slits in primary teeth cysts. This is because of the fact that the lesion associated with the primary teeth exist for shorter length of time before removal in contrast with permanent teeth [3]. In the present case the treatment plan comprised extraction of the primary tooth involved followed by enucleation of the cyst. The other conservative and effective alternative treatment option mentioned being marsupialization of lesion with a fixed resin tube placed in alveolar hole after the extraction of the affected primary tooth [12]. In a similar case the treatment included extraction of the affected primary teeth followed by marsupialization. A removable appliance with a resin extension into

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