Periapical cyst in the anterior maxilla: case report
DOI:
https://doi.org/10.21270/archi.v10i9.5392Keywords:
Periapical Cyst, Dental Pulp Necrosis, JawAbstract
Introduction: The periapical cyst is an inflammatory cyst that is related to the apex of a tooth with pulp necrosis and corresponds to the frequency of 7% to 54% of the periapical images. Objective: To report a clinical case of a patient with periapical cyst in the anterior region of the maxilla. Case report: A 20-year-old female patient attended the Stomatology clinic at the Graduate Center for Dentistry, CPGO, complaining of a slight increase in volume in the anterior region of the maxilla 5 years ago. In the extra-oral examination, a slight asymmetry was observed and in the intra-oral examination, in the region of tooth 12, the mucosa was normal and resilient in consistency. In the radiographic examination, a radiolucent image was observed between the roots of teeth 13 and 12. In the tomographic examination, the image was confirmed with preservation of the bone cortex. In view of the clinical and radiographic aspects, the diagnostic hypotheses of periapical cyst, keratocystic odontogenic tumor, or ameloblastoma have been suggested. The conduct was the excision of the lesion, followed by curettage and sending the specimen for histopathological analysis, resulting in a periapical cyst. Conclusion: Tooth 12 was treated endodontically after diagnosis and the patient is being followed up to analyze the formation of healthy bone in the place that was previously occupied by the cyst.
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