Cyst enucleation by Dr. Anuja Aggarwal

PATIENT(IDENTIFICATION DATA)

PATIENT HISTORY CLINICAL EXAMINATION INVESTIGATION TREATMENT PLAN TREATMENT DONE

Name: Mr. Man Singh Age: 35 year Sex: Male Marital status: Married Address: Arthla Regn no.:79051 Date:17/06/2010

PATIENT(IDENTIFICATION DATA) PATIENT HISTORY CLINICAL EXAMINATION INVESTIGATION TREATMENT PLAN TREATMENT DONE

Chief Complain: Patient complain of swelling in the upper front tooth region.

Past Dental History: patient first dental visit.

Medical History: no relevant history.

PATIENT(IDENTIFICATION DATA) PATIENT HISTORY CLINICAL EXAMINATION INVESTIGATION TREATMENT PLAN TREATMENT DONE

Extraoral Examination

There was a mild swelling on the left side of her face, with obliteration of the nasolabial and nasomaxillary,groove but with normal-looking overlying skin.

Dental Examination: No. of teeth: 31 Missing tooth:18(FDI) Carious tooth: 22 Mobile teeth: 22&23(grade I) Occlusion: Angle’s class I molar

relationship Oral hygiene: Fair

Examination Of Swelling:Swelling of dentoalveolar origin extending from 13 to 24 on maxillary labial aspect.

PATIENT(IDENTIFICATION DATA) PATIENT HISTORY CLINICAL EXAMINATION INVESTIGATION TREATMENT PLAN TREATMENT DONE

Haematology:

PATIENT(IDENTIFICATION DATA) PATIENT HISTORY CLINICAL EXAMINATION INVESTIGATION TREATMENT PLAN TREATMENT DONE

Oral prophylaxis Surgical Enucleation of the cyst Extraction of the tooth no.22 Endodontic treatment with

12,11,21,23. Prosthesis for the partial edentulous

space.

PATIENT(IDENTIFICATION DATA) PATIENT HISTORY CLINICAL EXAMINATION INVESTIGATION TREATMENT PLAN TREATMENT DONE

Oral Prophylaxis To remove all irritant from the

periodontium like supra- and sub-gingival calculus, plauqe, extrinsic stains.

Administration Of Local Anestesia lignocaine 2% with

adrenaline 1:200,000 is used.

Nerve block given are:1.Right and left

infraorbital2.Nasopalatine3.Right and left greater

palatine4.Right and left posterior

superior nerve block.

Incision With help of no. 15 blade Firstly crevicular incision

made on the teeth 14, 13, 12, 11, 21, 22, 23, 24.

Horizontal incison made then 2 vertical incision from teeth 14 and 24 to the mucobuccal fold.

Elevation Of Flap Flap raised with help of

periosteal elevator. It is a

Trapezoidal flap

It has a broad based flap with the vestibular portion being wider than the sulcular portion , it provide a better blood supply to the tissue.

Aspiration Of Fluid Content Of The Cyst Aspiration provides:1.Fluid for histopathological

examination2.To shrink the sac. Aspiration done with a

syringe.

Bone Removal All thin, resorbed, soften,

infected bone removed with help of burs.

Bone removal started from the apical region of the 22.

Bone removal extend from 12 to 23.

While bone removal care has been taken to preserve as much as bone and root of the teeth.

Enucleation Of The Cyst

Cyst has been removed entirely without tearing and puncturing

A cyst lining is adherent to cavity, a piece of rolled gauge is hold with a hemostat and inserted between cavity and lining.

Cystic Cavity After Enucleation

Extraction Of Tooth No.22

Extraction of the teeth is carried of because of the main etiological factor for causing the cyst.

Irrigation And Inspecting The Cavity

Cavity is thoroughly irrigated with saline and Betadine.

And inspected for any other treatment

Suturing Reposition the flap. Suturing done with the black braided silk

suture. Vertical mattress interrupted sutures given

Cyst Lining

This is send to the department of oral pathology for Histopathological examination,

Thanks for your attention….