Radicular Cyst in Maxillary Anterior Tooth Region with CBCT & Histologic Features
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
Abstract : Radicular cysts (RC) are the most common cystic lesions affecting the jaws. They are most commonly found at the apices of the involved teeth, however they may also be found on the lateral aspects of the roots in relation to lateral accessory root canals. Because of the close anatomical relationship between the nasal floor and the adjacent dental region in maxillary anterior teeth region and with maxillary sinus in maxillary posterior tooth region, determining the extent of cysts in these regions by invading these structures in depth can be a diagnostic dilemma. Conventional radiography renders a three-dimensional (3-D) anatomical structure two dimensionally with inherits distortions. This limitation posts a steep learning curve for novice operators to interpret information from the resulting images. In many incidences, it becomes a matter of guesswork even to the experienced user, like the relationship of the maxillary molars with the maxillary sinus as well as with nasal floor. In endodontics Cone Beam Computed Tomography (CBCT) has become a routine tool in endodontic surgery and especially implant dentistry. With increasing affordability of the computer and less expensive CB X-ray tube, CBCT will have enormous potential in endodontics. The following case report illustrates the same advantage of this novel technique in diagnosing and assessing the extent and depth of the radicular cyst associated with left maxillary anterior tooth (21 & 22), encroaching the nasal floor.
Authors and Affiliations
Trupti D. Chordia, Anuraag B. Choudhary, Mayur B. Chaudhary, Chaitanya Varangaokar, Shweta M. Chaudhary, Shailesh Kumbhare, Niraj Deogade, Sharvari Kumbhare
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