Subjective:
The patient was a 12 y.o. white female referred to our office for evaluation of pain and edema in the anterior maxillary vestibule.Objective:
Medical history revealed a well-developed white 12 y.o. female. The patient had no known drug allergies. Medications included Ceclor. There were no serious illnesses.Oral examination revealed malformed clinical crowns of teeth numbers 7 and 10. A draining fistula was noted on the labial aspect of tooth number 7. Periapical radiographic examination revealed invagination of enamel invading into the roots of teeth number 7 and 10. Radiolucent periapical lesions were present bilaterally involving the maxillary lateral incisors.
Histopathologic examination was consistent with an apical periodontal cyst for tooth number 7 and 10.
Assessment:
- Bilateral Maxillary Dens in Dente (Dens Invaginatus)
- Apical Periodontal Cysts number 7 and 10
- Class I Malocclusion
Plan:
- IV sedation and local anesthesia
- Extraction teeth numbers 7 and 10
- Enucleation of apical periodontal cyst area number 7 and 10
- Insertion of immediate maxillary removable partial denture
- Future orthodontic treatment
- Future endosseous implants
Patient treated by:
- Dr. Steven R. Tucker Oral and Maxillofacial Surgery
- Dr. Carol Braun Pediatric Dentistry
- Dr. Mark Bothwell Endodontics
Steven R. Tucker DMD, PSC Oral and Maxillofacial Surgery 909 Scherm Road Owensboro, KY 42301 phone: 1-502-926-4107 fax: 1-502-926-4166 url: http://www.srt-psc.com
steven@occ-uky.campus.mci.net
Last Modified: December 31, 1997
