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Radicular Cyst associated with Deciduous Incisor: A Rare Case Report.

Subramanya PL - Int J Clin Pediatr Dent (2012)

Bottom Line: How to cite this article: Subramanya PL.Radicular Cyst associated with Deciduous Incisor: A Rare Case Report.Int J Clin Pediatr Dent 2012;5(3):217-219.

View Article: PubMed Central - PubMed

Affiliation: Reader, Department of Pedodontics, TODC, Karnataka, India e-mail: drlatas@yahoo.co.in.

ABSTRACT
Radicular cysts are considered rare in the primary dentition, comprising only 0.5 to 3.3% of the total number of radicular cysts in both primary and permanent dentitions. The aim of this case report is to present the clinical, radiographic and histological characteristics of radicular cyst associated with primary central incisor. Extraction and enucleation of the cyst was carried out under local anesthesia after elevation of the mucoperiosteal flap, which led to uneventful healing. How to cite this article: Subramanya PL. Radicular Cyst associated with Deciduous Incisor: A Rare Case Report. Int J Clin Pediatr Dent 2012;5(3):217-219.

No MeSH data available.


Related in: MedlinePlus

Clinical photograph showing raised ala of the nose on the left side
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Figure 1: Clinical photograph showing raised ala of the nose on the left side

Mentions: An 8-year-old boy presented with a 15 days history of an asymptomatic swelling below the alla of the nose on the left side (Fig. 1). Patients past dental history indicated trauma with respect to 61 about 2 years ago. Extraorally, the swelling was diffuse, nontender and bony hard. Intraorally, an irregular bony hard swelling extending from the left maxillary primary incisor to canine area was seen. The left maxillary primary incisor, i.e. 61 exhibited fracture of the incisal edge involving dentine (Fig. 2). The differential diagnosis being radicular cyst periapical cyst, traumatic bone cyst, globulomaxillary cyst and aneurysmal bone cyst. Radiographs revealed well-defined large periapical radiolucency with a thin sclerotic border in relation to apex of 61 (Fig. 3). Root of deciduous left central incisor was resorbed. From history and clinical presentation, a provisional diagnosis of radicular cyst was made. The cystic site was exposed under local anesthesia after elevation of the mucoperiosteal flap, which exhibited expansion and thinning of buccal cortical plate. The cyst was enucleated along with the extraction of 61 (Fig. 4). The specimen was sent for histopathologic examination. Surgical exploration confirmed the nonassociation of the cyst to the successive permanent teeth. Primary closure was done following debridement and hemostasis. Postsurgical healing was uneventful (Figs 6A and B). Microscopically, a densely inflamed cyst wall covered by a varying thickness of nonkeratinized epithelial lining suggested radicular cyst (Figs 5A and B).


Radicular Cyst associated with Deciduous Incisor: A Rare Case Report.

Subramanya PL - Int J Clin Pediatr Dent (2012)

Clinical photograph showing raised ala of the nose on the left side
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4155882&req=5

Figure 1: Clinical photograph showing raised ala of the nose on the left side
Mentions: An 8-year-old boy presented with a 15 days history of an asymptomatic swelling below the alla of the nose on the left side (Fig. 1). Patients past dental history indicated trauma with respect to 61 about 2 years ago. Extraorally, the swelling was diffuse, nontender and bony hard. Intraorally, an irregular bony hard swelling extending from the left maxillary primary incisor to canine area was seen. The left maxillary primary incisor, i.e. 61 exhibited fracture of the incisal edge involving dentine (Fig. 2). The differential diagnosis being radicular cyst periapical cyst, traumatic bone cyst, globulomaxillary cyst and aneurysmal bone cyst. Radiographs revealed well-defined large periapical radiolucency with a thin sclerotic border in relation to apex of 61 (Fig. 3). Root of deciduous left central incisor was resorbed. From history and clinical presentation, a provisional diagnosis of radicular cyst was made. The cystic site was exposed under local anesthesia after elevation of the mucoperiosteal flap, which exhibited expansion and thinning of buccal cortical plate. The cyst was enucleated along with the extraction of 61 (Fig. 4). The specimen was sent for histopathologic examination. Surgical exploration confirmed the nonassociation of the cyst to the successive permanent teeth. Primary closure was done following debridement and hemostasis. Postsurgical healing was uneventful (Figs 6A and B). Microscopically, a densely inflamed cyst wall covered by a varying thickness of nonkeratinized epithelial lining suggested radicular cyst (Figs 5A and B).

Bottom Line: How to cite this article: Subramanya PL.Radicular Cyst associated with Deciduous Incisor: A Rare Case Report.Int J Clin Pediatr Dent 2012;5(3):217-219.

View Article: PubMed Central - PubMed

Affiliation: Reader, Department of Pedodontics, TODC, Karnataka, India e-mail: drlatas@yahoo.co.in.

ABSTRACT
Radicular cysts are considered rare in the primary dentition, comprising only 0.5 to 3.3% of the total number of radicular cysts in both primary and permanent dentitions. The aim of this case report is to present the clinical, radiographic and histological characteristics of radicular cyst associated with primary central incisor. Extraction and enucleation of the cyst was carried out under local anesthesia after elevation of the mucoperiosteal flap, which led to uneventful healing. How to cite this article: Subramanya PL. Radicular Cyst associated with Deciduous Incisor: A Rare Case Report. Int J Clin Pediatr Dent 2012;5(3):217-219.

No MeSH data available.


Related in: MedlinePlus