Department of Pediatric and Preventive Dentistry, Amrita School of Dentistry, Amrita Institute of Medical Sciences, Amrita University, Ponnekara, Kochi, Kerala, India.
Indian J Dent Res. 2020 Nov-Dec;31(6):975-978. doi: 10.4103/ijdr.IJDR_470_19.
This is a case of swelling originating from dens invaginatus associated with lateral incisor, misdiagnosed as a globulomaxillary cyst. The initial diagnosis of globulomaxillary cyst was made solely from radiographs by observing a reverse pear-shaped radiolucency between the lateral incisor and cuspid. The results following pulp testing and Cone Beam Computed Tomography (CBCT) evaluation revealed the endodontic origin of the lesion, which entailed the treatment carried out by surgical enucleation and apicoectomy. This also details the clinical and diagnostic dilemma as well as conflicts associated with the diagnosis and management of the cystic lesion.
这是一例由牙内陷引起的肿胀，涉及侧切牙，最初误诊为球状上颌囊肿。通过观察侧切牙和尖牙之间的反向梨形透光区，仅根据 X 光片作出球状上颌囊肿的初步诊断。牙髓测试和锥形束计算机断层扫描（CBCT）评估的结果显示病变源于牙髓，需要通过手术切除和根尖切除术进行治疗。本文还详细介绍了与该囊性病变的诊断和治疗相关的临床和诊断困境以及冲突。
