A suspect of large dentigerous cyst associated with impacted canine evaluated by CBCT: a case report in a young patient

Galih Rahmadini, Fahril Ramadhan, Aga Satria Nurrachman, Farina Pramanik
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Abstract

Objectives: This case report aims to describe a large radiolucent lesion associated with an impacted canine in a young patient from CBCT radiographs. Case Report:  A 12-year-old boy was referred for CBCT examination to the Dentomaxillofacial Radiology unit at the Universitas Padjadjaran Dental Hospital with swelling on the right side of the face and a gingival lump on the upper right region suspected as an unerupted canine. The CBCT examination results showed an ectopic impacted tooth 13 and a large hypodense/radiolucent lesion with a well-defined and corticated border located on the coronal of tooth 13, expanding into the maxillary sinus and nasal cavity. Conclusion: Based on the CBCT result in terms of location and radiographic features, this extensive radiolucent lesion led to a suspect radiodiagnosis of the dentigerous cyst within a young patient. However, histology examination is still required to establish a definitive diagnosis.
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疑似大牙性囊肿伴阻生犬的CBCT评估:一例年轻患者报告
目的:本病例报告旨在描述一名年轻患者的CBCT x线片上与受影响犬相关的大透光病变。病例报告:一名12岁男孩被转介到Universitas Padjadjaran牙科医院牙颌面放射科做CBCT检查,他右侧面部肿胀,右上方牙龈肿块疑似未出牙。CBCT检查显示13号牙异位阻生,13号牙冠状面可见一大片低密度/放光病灶,边界清晰,呈皮质状,向上颌窦和鼻腔扩展。结论:根据CBCT结果的位置和影像学特征,这一广泛的放射透光病变导致了一名年轻患者的可疑的含牙囊肿的放射诊断。然而,组织学检查仍然需要建立明确的诊断。
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