W3 Jaw Cysts Cases rough

Case 1:

• Patient is healthy
• Had root canal filling done 1 month ago and radiolucent area hasn’t resolved

Treatment Plan

• Is it going to be a re-endodontic treatment?

Quality of endo?

• Will the radiolucency resolve with re-treatment
  • Probably not it might be an incisive canal cyst
  • The lesion is too big it probably won’t resolve

Next steps

• Cone beam CT to properly diagnose the type of cyst
• Cyst is probably benign because its well corticated

Case 2 OPG

Case 2 OPG

• Patient is fit and well

OPG analysis

• Periapical radiolucency spanning from 11 - 15

Next Steps

• More imaging :
  • CBCT or CT
  • probably ameloblastoma

Case 3 OPG

#

• Lesions on 46, 47, 37, 36

Patient consideration

• Patient has kidney disease
  • Kidneys secrete hormones that allow you to absorb calcium
  • this patient is low in calcium!
  • That is the the cause of the lesion between the 46 and 47

Case 4 OPG

Diagnosis

• supernumerary teeth

Management

• you ned to know if they are buccal or palatal
  • to do this you can use the parallel technique (SLOB) or take a cone beam CT
  • You also want to use the ct to see if its causing resorption on the 1 or 2
• Patient asks what happens if we live them?
  • could potentially turn cystic
  • could cause resorption
• Management depends on p/t considerations:
  • you won’t really do anything if its an 80 year old, but would consider it in someone younger

case 5

Diagnosis

• Severe bone loss which is not in conjunction with the rest of the mouth (in Q4)
• with the amount of bone loss you would be worried about some sort of resorption
• This turned out to be an ==intra-alveolar cancer

case 6

Patient Factors

• Teeth are all vital except for 45

Radiographic analysis

• Opacities in the mandible

Diagnosis

Obtaining diagnosis

• is it serious enough to refer?
• what is the best for the patient ?
• Patient will also ask what happens at / after the referral

• Florid Cemento dysplasia

Case 7

Radiographic analysis

• Radiolucency between 34, 41 periapically

Management

• Vitality testing
  • all the teeth turn out to be vital, thus it isnn’t endodontic in origin
• Further imaging
  • cone beam ct
    • want to know if its perforated the buccal or lingual cortex
• Refer the lesion for biopsy

Diagnosis

• Haemorraghic/ traumatic bone cyst

Do you need to do anything for a haemorraghic bone cyst?

NO you don’t need to do anything about it