[Oradlist] 36 yrs old male

[Ebtihal Alabdeen]

Dear Dr Khan

I agree with your first part suggestion, but to be an odontogenic cyst? i
can't see any connection between the lesion and the roots of #16 and # 17 ,
and the teeth do not show any caries or periodontal changes or widening in
the PDL space , however i will ask the implantologist to check the vitality
of the teeth, do you suggest any other non-odontogenic cyst ? should i
recommend aspiration or removal of the cyst if the teeth were vital ?


Regards

Ebtihal


On Wed, Sep 1, 2010 at 4:17 AM, Emad Khan <ekhan at kau.edu.sa> wrote:

> Dear Ebtihal,
>
> I have noticed that the lesion is less than 2 cm and might be related to
> #17 (from the image cyst5.jpg). As you have mentioned, the lesion is
> corticated which excludes a pseudo-cyst (mucous retention) and polyp. They
> arise within the sinus epithelium and the periosteum is intact thus they are
> never corticated and they rupture. Notice also the thickened sinus mucosa
> superior-medial to the lesion. Retention cyst continues with the mucosa and
> is not separated from it.
>
> I suggest an odontogenic cyst and recommend vitality testing (#16 and #17)
> and biopsy. This might complicate your implant fixture that has already been
> placed (hopefully not).
>
> Do you happen to know the condition of the extracted #15? and if you have
> previous radiographs?
>
> All the best,
>
> *Dr. Emad Khan, BDS, MS, PhD, FAGD, Dip. ABOMR*
>
> *Assistant Professor** and Consultant*
>
> *Division of Oral Radiology*
>
> *Dept. of Oral Basic and Clinical Sciences*
>
> *King** Abdulaziz University** – Faculty of Dentistry***
>
> *P.O. Box** 80209***
>
> *Jeddah** 21589*
>
> *Kingdom** of Saudi Arabia***
>
> *Tel: +966-2-640-2000 Ext. 22211*
>
> *Fax: +966-2-640-3316*
>
> *Email: ekhan at kau.edu.sa*
>
> *  *
>
>
>
>
> ------------------------------
> *From:* Ebtihal Alabdeen <ebtihalh at gmail.com>
> *To:* Oral Radiology Discussion Group <oradlist at lists.ucla.edu>
> *Sent:* Tue, August 31, 2010 11:40:13 AM
>
> *Subject:* [Oradlist] 36 yrs old male
>
> Hi all
> This is an incidental finding when patient came to the implant clinic,
> patient is not complaining of pain, the panoramic image shows a well defined
> corticated cyst-like lesion less than 2 mm within the maxillary sinus and
> not related to #16 and # 17 as seen from the coronal and sagittal sections,
> the fifth image (coronal view) shows less cortication resembling a soft
> tissue mass, or a cyst filled with fluid.
> Differential diagnosis
> 1. Maxillary sinus mucous retention cyst
> 2. polyp in maxillary sinus
>
> --
> Ebtihal H. Zain Alabdeen, BDS, Msc
> Oral and Maxillofacial Radiology
> Ministry of Health
> Riyadh, Saudi Arabia
>
>
>
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>
>


-- 
Ebtihal H. Zain Alabdeen, BDS, Msc
Oral and Maxillofacial Radiology
Ministry of Health
Riyadh, Saudi Arabia
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