401. Mixed periapical lesion: differential diagnosis of a case.
- Author
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Krithika C, Kota S, Gopal KS, and Koteeswaran D
- Subjects
- Diagnosis, Differential, Female, Humans, Incisor, Odontogenic Cyst, Calcifying etiology, Periapical Diseases etiology, Radicular Cyst etiology, Radiography, Tooth Fractures complications, Young Adult, Maxillary Diseases diagnostic imaging, Maxillary Neoplasms diagnostic imaging, Odontogenic Cyst, Calcifying diagnostic imaging, Periapical Diseases diagnostic imaging, Radicular Cyst diagnostic imaging
- Abstract
A radicular cyst associated with carious teeth is a very common odontogenic lesion in the oral cavity, but calcifications in residual radicular cysts are quite rare. We report one such case where a routine pre-implant radiographic assessment revealed a mixed periapical radiopaque radiolucent lesion in the right maxillary central incisor region. Histological and radiographic studies show that there is a slow increase in the mineralized deposits within the cyst lumen with time. This becomes prominent histochemically in cysts more than 8 years old and radiographically 6 years later, as seen in our case. In this paper we would like to highlight the importance of a residual radicular cyst with calcifications in the differential diagnosis of a mixed periapical radiopaque radiolucent lesion.
- Published
- 2011
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