Indian Journal of Public Health Research & Development

Neeta Mohanty ¹, Shubhangi Pareek ¹, Sreepreeti Champatyray ¹

Affiliations
1 Department of Oral and Maxillofacial Pathology and Microbiology, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN

Abstract

Nasopalatine duct cyst is the most commonly encountered epithelial non odontogenic cyst of the maxilla. Epithelial remnants of the nasopalatine duct triggered due to some sort of irritation in the form of infection or spontaneously may give rise to Nasopalatine duct cyst. The final diagnosis can only be made based upon the clinical, radiological and most importantly histopathological findings. Treatment strategies mainly incorporate enucleation of the lesion followed by marsupialization as indicated in some cases. We present here a case of Nasopalatine duct cyst in a 45-year-old male which was diagnosed clinically as dentigerous cyst in association with an impacted tooth but a conclusive diagnosis of nasopalatine duct cyst was finally made based upon the histopathological findings.

Keywords

Nasopalatine Duct Cyst, Marsupialization, Histopathology, Radiology.

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Swagatika Panda ¹, Sreepreeti Champatyray ¹, Alkananda Sahoo ¹, Neeta Mohanty ²

Affiliations
1 Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar. Odisha, IN
2 Department of Oral Pathology and Microbiology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar. Odisha, IN

Abstract

Focal cemento-osseous dysplasia (FCOD) is a fibro-osseous lesion that is a nonneoplastic reactive lesion. Fibro-osseous lesions are disturbances in bone metabolism in which normal bone is replaced by a connective tissue matrix that then gradually develops into cemento-osseous tissue. Typically, the lesion is asymptomatic and is detected on routine radiographic examination. Radiologically, this lesion has three stages of maturation: pure radiolucent, radiopaque/mixed radiolucent, and radiopaque appearance. During these stages the lesion can be misdiagnosed. In this case report a 57-year- old patient complaint of painless swelling of the right mandibular front tooth region which is presented along with a review of the differential diagnosis considered in order to reach a final diagnosis of focal cemento-osseous dysplasia.

Keywords

Cemento-Osseous Dysplasia, Fi Bro-Osseous Lesion, Focal Cemento-Osseous Dysplasia, Periapical Cemento-Osseous Dysplasia.

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Jagannath Patro ¹, Swagatika Panda ¹, Sreepreeti Champatyray ¹, Alkananda Sahoo ¹, Neeta Mohanty ¹

Affiliations
1 Department of Oral Pathology and Microbiology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan, Deemed to be University, Bhubaneswar, Odisha, IN

Abstract

Dentigerous cyst is the most commonly occurring developmental odontogenic cyst. Because of the typical clinical and radiologic attributes, the present case was clinically misdiagnosed as Dentigerous cyst which was later confirmed histopathologically as Lateral periodontal cyst. Lateral periodontal Cyst is defined as non-keratinized developmental cyst located lateral to the ischolar_main of a vital tooth. This case report presents a unique case of lateral periodontal cyst present in 58-year-old female patient. Atypical presentation of lateral periodontal cyst as is presented in this case report should be considered by the histopathologist while interpreting microscopic preparations of odontogenic cysts.

Keywords

Lateral Periodontal Cyst, Dentigerous Cyst, Histopathology, Orthopantomograph.

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