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Austin J Dent. 2016; 3(6): 1052.
Palatal Swelling Turning out to be a Periapical Cyst
Nair SN¹*, Baliga A², Kini R³ and Rao PK4
Department of Oral Medicine and Radiology, A J Institute of Dental Sciences, India
*Corresponding author: Sreelakshmi N Nair, Department of Oral Medicine and Radiology, A J Institute of Dental Sciences, Karnataka, Mangalore, PIN– 575004, India
Received: October 27, 2016; Accepted: November 14, 2016; Published: November 16, 2016
Clinical Image
A35 year old medically fit male patient came to department with a chief complaint of swelling in the palate since 4 months. The swelling was insidious in onset, initially small in size but slowly grew up to the present size. There was no associated symptoms except for the mild discomfort while talking. Patient gave a history of fall 1 year back following which his upper right front tooth fractured and fell off and was replaced by a fixed partial denture. On inspection, a well-defined solitary ovoid swelling was seen in the anterior hard palate, about 3 cm x 2 cm in size in the left paramedian position in relation to left central incisor and lateral incisor region crossing the midline. Mucosa over the swelling appeared normal. On palpation it was non tender, non-fluctuant, non-compressible, non-reducible, smooth and firm in consistency (Figure 1). Intra oral periapical radiograph (IOPA) taken in relation to the upper anterior region (Figure 2) and a maxillary true occlusal radiograph (Figure 3) revealed a well-defined radiolucency measuring more than 1.5 cm in diameter with a sclerotic border seen in relation to the periapical region of upper left lateral incisor with loss of lamina dura. Histopathological examination following Fine needle aspiration revealed hyperplasia of stratified squamous layer, presence of Rushton bodies all characteristic of radicular cyst. So a final diagnosis of Periapical cyst in relation to upper left central and lateral incisor was given. A treatment plan of ennucleation of the cyst and endodontic evaluation of the associated teeth was given.
Figure 1: Palatal swelling radioluceceny with sclerotic border.
Figure 2: IOPA showing well defined peri apical to 22.
Figure 3: True maxillary occlussal radiograph showing the cyst.
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