Glandular odontogenic cyst misdiagnosed and treated as a periapical inflammatory lesion for 6 years in an older adult

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology Pub Date : 2024-08-27 DOI:10.1111/ger.12741

José Alcides Almeida de Arruda, Vitor Augusto Leite, Leandro Benetti de Oliveira, Brendo Vinicius Rodrigues Louredo, Paulo Victor Mendes Penafort, Fábio Abreu Alves, Pablo Agustin Vargas, Luciana Estevam Simonato, Saygo Tomo

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引用次数: 0

Abstract

Objectives

To document the case of a patient who underwent several endodontic treatments due to a glandular odontogenic cyst misdiagnosed as an inflammatory periapical lesion.

Background

Glandular odontogenic cysts behave more aggressively, while others have an indolent course. There is limited information on this cyst in the gerodontologic literature.

Materials and Methods

A 76-year-old male patient presented with an asymptomatic expansive lesion in the anterior mandible resistant to several endodontic treatments. Cone-beam computed tomography revealed a multilocular osteolytic lesion measuring 6.0 × 4.0 cm, with cortical bone perforation.

Results

Histopathological analysis of a biopsy specimen was consistent with glandular odontogenic cyst. The patient underwent marginal mandibulectomy with preservation of the base of the mandible.

Conclusion

A strict diagnostic process is important to avoid unwanted consequences, particularly in the geriatric population.

查看原文本刊更多论文

一名老年人的腺性牙源性囊肿被误诊为根尖周炎并治疗了 6 年。

摘要记录一例因腺样牙源性囊肿被误诊为根尖周炎性病变而接受多次牙髓治疗的患者的病例：背景：腺源性牙源性囊肿具有较强的侵袭性，而其他一些囊肿的病程则比较缓慢。有关这种囊肿的资料在老年牙科文献中非常有限：一名 76 岁的男性患者因下颌前部无症状膨胀性病变而就诊，多次牙髓治疗无效。锥形束计算机断层扫描显示，该病灶为多发性溶骨性病变，大小为 6.0 × 4.0 厘米，皮质骨穿孔：活检标本的组织病理学分析与腺源性牙源性囊肿一致。患者接受了下颌骨边缘切除术，保留了下颌骨基底：严格的诊断过程对于避免不必要的后果非常重要，尤其是在老年人群中。

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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来源期刊

Gerodontology 医学-老年医学

CiteScore

4.10

自引率

10.00%

发文量

审稿时长

3-6 weeks

期刊介绍： The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.