EXTENDED APICAL PERIODONTAL CYST IN MAXILLA: CASE REPORT
Keywords:Apical periodontal cyst', Oral Surgery, Oral Pathology
The apical periodontal cyst represents the most common inflammatory pathology among odontogenic cysts, corresponding to about 60% of the maxilla and mandible cysts. It is associated with the apex of a devitalized tooth and is generally asymptomatic, affecting more frequently the anterior region of the maxilla. A 44-year-old leukoderma patient presented with a large asymptomatic lesion located in the anterior region of the maxilla. On clinical examination, it was possible to observe an increase in volume associated with the erasure of the gingivolabial fold, in addition to a negative pulp vitality test in dental units # 13, # 12, # 11, # 21 and # 22. Radiographically, it appears as a well-defined unilocular radiolucent image surrounding the apexes of the respective dental units. An aspiration puncture was performed, showing bloody secretion, reinforcing the suspected suspicion of apical periodontal cyst. The proposed treatment was two aspirations per week for 15 days followed by enucleation, the 45-day postoperative panoramic radiograph showed bone neoformation. Thus, it is possible to verify that the surgical approach consists of a resolutive therapeutic option, mainly in extensive lesions.
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