22-11-2008

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ISSN: 1300-7734
Dil: Türkçe, İngilizce

 

CASE REPORTS


Nasopalatine Duct Cyst Associated With Dens In Dente And Semi-talon Cusp: Case Report

Umut TUNGA,a Emel BULUT,b Oya KADEMOĞLU,c Fatih HOŞGÖRb
Departments of aDental Diseases and Treatments, Subdepartment of Endodontics; bOral Dental Mandibuler Disesases and Surgery; cOral Diagnosis and Radiology; Ondokuz Mayıs University Faculty of Dentistry, SAMSUN



The purpose of this report is to present an unusual clinical case presenting with simultaneous combination of dental anomalies such as nasopalatine cyst, dens in dente and semi-talon cusp. Radiographic examination of a 37-year-old male patient revealed a radiolucent area of approximately 3 × 5 cm in size underneath the 12th tooth. The vitality of the tooth was negative. The cyst was thought to be a radicular cyst and was enucleated surgically. Pathologic evaluation of the enucleated fragment showed that the cyst was lined with non-keratinized stratified columnar epithelia, squamous epithelia and chronic inflammatory cells; the findings were concordant with a nasopalatine duct cyst. An unusual feature of this cyst is that it was formed under the non-vital 12th tooth, instead of in the midline of the anterior part of the maxilla and was associated with dens in dente and talon cusp. Clinical and radiographic examination is suggested when a tooth is associated with other dental anomalies. The present case illustrates that dental invagination can be associated with other dental anomalies. He was resolved by endodontic treatment and enucleation of the cyst after evaluation of the maxillary and mandibular dental discrepancy and the clinical status of the patient.

Keywords: Dens in dente; cystic duct

Turkiye Klinikleri J Dental Sci 2008, 14:31-36

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