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Mixed periapical lesion: an atypical radicular cyst with extensive calcifications.
- Source :
-
Brazilian dental journal [Braz Dent J] 2014 Sep-Oct; Vol. 25 (5), pp. 447-50. - Publication Year :
- 2014
-
Abstract
- The radicular cyst is an inflammatory odontogenic cyst of endodontic origin. Radiographically, the lesion appears as a periapical radiolucent image. This report describes a very rare case of a mixed periapical radiographic image diagnosed as a radicular cyst. A 37-year-old female patient presented a mixed, well-circumscribed image located in the periapical region of the left maxillary central incisor, which presented unsatisfactory endodontic treatment. Microscopic examination revealed a cavity lined by non-keratinized squamous epithelium and extensive calcifications in the cystic lumen and lining epithelium. Diagnosis of radicular cyst with extensive calcifications was established. Endodontic retreatment was performed and no radiographic signs of recurrence were observed 18 months after treatment. Although very rare, a radicular cyst should be considered in the differential diagnosis of a mixed periapical image associated to teeth with pulp necrosis.
- Subjects :
- Adult
Calcinosis diagnostic imaging
Cone-Beam Computed Tomography methods
Diagnosis, Differential
Female
Fibroma, Ossifying diagnosis
Follow-Up Studies
Humans
Maxillary Diseases diagnostic imaging
Maxillary Neoplasms diagnosis
Odontogenic Tumors diagnosis
Radicular Cyst diagnostic imaging
Radiography, Bitewing
Tooth, Nonvital diagnostic imaging
Calcinosis diagnosis
Maxillary Diseases diagnosis
Radicular Cyst diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1806-4760
- Volume :
- 25
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Brazilian dental journal
- Publication Type :
- Academic Journal
- Accession number :
- 25517783
- Full Text :
- https://doi.org/10.1590/0103-6440201300235