| Autor: |
da SILVA, Marina, PEREIRA, Thaís Cristina Esteves, ARAÚJO, Anna Luíza Damaceno, ELIAS, Rogério de Andrade, VARGAS, Pablo Agustin, SILVA, Alan Roger dos Santos, LOPES, Marcio Ajudarte |
| Zdroj: |
Oral Surgery, Oral Medicine, Oral Pathology & Oral Radiology; Jun2024, Vol. 137 Issue 6, pe171-e171, 1p |
| Abstrakt: |
Keratocyst is a developmental odontogenic cyst with a slight male predilection. It most commonly occurs in the posterior mandible. Radiographically, it typically presents as a well-defined radiolucent area with regular, well-defined radiopaque margins. In some cases, when it occurs in the midline anterior maxillary region, it can mimic other lesions like a nasopalatine duct cyst or periapical cyst. In the presented case, a 48-year-old man was referred for evaluation of a radiolucent lesion located between the roots of teeth 11 and 21. Upon clinical examination, a discreet swelling was noted in the vestibular region near the apices of teeth 11 and 21. A CT scan revealed an independent lesion from the nasopalatine duct, leading to the initial diagnostic hypothesis of a periapical cyst. However, as there was no regression of the lesion following endodontic retreatment, it was surgically removed. Microscopic analysis confirmed the diagnosis of a keratocyst. This case underscores the importance of correctly diagnosing and closely monitoring intraosseous lesions to ensure appropriate management and treatment. [ABSTRACT FROM AUTHOR] |
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