Kahler Bill
University of Queensland Dental School, Brisbane, Queensland, Australia.
Aust Endod J. 2011 Aug;37(2):73-5. doi: 10.1111/j.1747-4477.2010.00272.x. Epub 2010 Oct 24.
Traumatic bone cysts can mimic the signs and symptoms of an endodontic lesion. This case reports on a 19-year-old male patient who was referred for endodontic assessment of a symptomatic tooth with a gingival swelling and a draining sinus at the furcation of a mandibular second molar. Radiographically, a periradicular radiolucency is evident. A prior history of trauma as well as removal of the wisdom teeth was determined. After careful diagnosis unnecessary endodontic intervention was avoided. Surgical exploration, curettage and the generation of a blood clot resulted in healing at the 6 month review appointment. The tooth remained responsive to pulp sensibility testing at that time.