Traumatic bone cyst resembling a periapical abscess: A case report
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초록
Traumatic bone cyst is known as a symptomless, radiolucent bony lesion incidentally found during routine radiographic examinations. The main characters of traumatic bone cyst are asymptomatic and unicystic radiolucent bony lesion with vital tooth. This case is a confusing case of a traumatic bone cyst with sudden gingival swelling and appearance like a periapical abscess. After surgical exploration and drainage, clinical and radiographic examination showed bony healing with pulpal vitality preserved after 7 months postoperatively.
Abstract
The radiolucent areas surrounding the apices of a tooth may be misdiagnosed as apical periodontitis or periradicular cyst with pulpal involvement1). Especially in case of having history of previous trauma, the periradicular radiolucency of the posttraumatic areas tends to be easily considered as a chronic periapical lesion due to pulpal necrosis of affected tooth2). Moreover, if gingival or facial swelling accompanies with such circumstances,erroneous diagnosis of odontogenic abscess as a result of pulpal infection may be led1, 3). So, the accurate diagnosis is essential to consider the lesion to be of endodontic or non-endodontic origin and ensure the maintenance of pulpal vitality4).
참고문헌 (20)
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