Centre Dentaire Benmalk

SURGERY CASE

Radicular cysts are the most common inflammatory cysts arising from the epithelial residues in the periodontal ligament as a result of periapical periodontitis following necrosis of the pulp, remains asymptomatic and left unnoticed until detected during routine periapical radiography.

These cysts comprise about 52% to 68% of all the cysts affecting the human jaw.[1] Their incidence is highest in third and fourth decade of life with male predominance.[2] Anatomically the periapical cysts occur in all tooth-bearing sites of the jaw but are more frequent in the maxillary than the mandibular region.[1,3]

Radicular cysts can heal spontaneously after endodontic treatment or extraction. However, some authors propose that suspected radicular cysts must be totally enucleated surgically to remove all epithelial remnants.[4]

1. Nair PN. Review New perspectives on radicular cysts: Do they heal? Int Endod J. 1998;31:155–60. [PubMed] [Google Scholar]
2. 3rd ed. Singapore: Varghese Publication House; 1992. Mervyn Shear, Cysts of oral regions; pp. 136–70. [Google Scholar]
3. Rees JS. Conservative management of a large maxillary cyst. Int Endod J. 1997;30:64–7. [PubMed] [Google Scholar]
4. Walton RE. The residual radicular cyst: Does it exist? Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;82:471. [PubMed] [Google Scholar]
Case done by : Dr Anass Benmalk

Reconstitution prothétique antérieure par bridge céramo céramique

60years old female, hypertensive, toothless patient came with pain and swelling in the right mandible .
Extra buccal examination shows a fistula regarding the concerned site .
Panoramic radiography in favour of a radio opaque bony lesion.
The patient reported a multiples extractions 15 years ago setting up a bi maxillary total prothesis.
1st step surgery was to explore the bony lesion, take it off for biopsy, then suturing with a simple surjet .
2nd step was a fistulectomy in the extra oral area; dissecting the fistula tract followed by an intradermic sutures.

Two months recall: Healing and perfect cicatrisation.
Biopsy result: fibro-inflammatory chronic reshuffle.
Case done by : Dr Anass BENMALK , Dr Amine By

حالة استئصال ورم عظمي حميد في الفك السفلي لمريضة تبلغ من العمر 60 سنة و تعاني من ارتفاع الضغط الدموي
نلاحظ شفاء تام للورم بعد شهرين من العلاج

Cas de blanchiment dentaire sur fauteuil en une seule séance
حالة تبييض الأسنان في حصة واحدة

To be continued

Optez pour un visage et un sourire plus harmonieux grace aux injections de l'acide hyaluronique "filler"
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