An inflammatory Odontogenic Cyst (Unusual Case): A case report

Ahmed Alfurhud, Sheelah Harrison, Mohammed Alshammari
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Abstract

Different types of inflammatory lesions, such as odontogenic cysts, can affect the oral and maxillofacial regions. The conventional aetiology of inflammatory periapical lesions is triggered by dental caries or traumatic injury to the teeth, leading to the death of the dental pulp and subsequent bacterial infiltration of the periapical area. In rare cases, inflammatory odontogenic cysts may originate from non-inflammatory causes, such as the presence of enamel pearls located within the furcation of teeth with multiple roots. This case report illustrates a case of an asymptomatic inflammatory cyst associated with the upper left first molar in a young female patient. The cyst developed without any obvious clinical explanation and appeared in a typical sound tooth without evidence of pathology-related conditions. The radiographic findings demonstrated a notably aggressive nature not atypical for inflammatory cysts. The cyst expansion resulted in significant displacement of the adjacent upper left second molar, causing it to deviate from its original position within the dental arch. Additionally, the inferior border of the maxillary sinus was displaced in a superior direction. The diagnosis of non-specific inflammatory cyst was confirmed via histopathological examination. In this particular case, it is important to acknowledge that no singular factor is attributed to the cyst development. However, it is worth noting that the tooth in question is associated with enamel pearls, which have been discussed in the field of oral and maxillofacial pathology as a relatively uncommon cause of inflammatory cyst development.
炎性牙源性囊肿(罕见病例):病例报告
牙源性囊肿等不同类型的炎性病变可影响口腔和颌面部。根尖周炎性病变的传统病因是龋齿或牙齿外伤,导致牙髓坏死,随后细菌浸润根尖周区。在极少数情况下,炎性牙源性囊肿可能源于非炎性原因,如位于多根牙齿沟内的釉质珍珠。本病例报告展示了一例年轻女性患者左上第一磨牙伴发的无症状炎性囊肿。囊肿的发生没有任何明显的临床解释,而且出现在一颗典型的健全牙齿上,没有任何病理相关的证据。影像学检查结果显示,囊肿具有明显的侵袭性,这在炎性囊肿中并不典型。囊肿扩张导致邻近的左上第二磨牙明显移位,使其偏离了在牙弓中的原始位置。此外,上颌窦的下缘也向上方移位。经组织病理学检查,确诊为非特异性炎性囊肿。在这一特殊病例中,必须承认的是,囊肿的形成并不是单一因素造成的。不过,值得注意的是,这颗牙齿与珍珠珐琅质有关,而珍珠珐琅质在口腔颌面病理学领域被认为是导致炎性囊肿发生的一个相对不常见的原因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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