von Arx Thomas, Bräutigam Konstantin, Banz Yara, Bornstein Michael M
Klinik für Oralchirurgie und Stomatologie, Zahnmedizinische Kliniken der Universität Bern, zmk bern.
Institut für Pathologie, Universität Bern.
Swiss Dent J. 2022 Mar 7;132(3):179-184. doi: 10.61872/sdj-2022-03-02.
One of the most frequent pathologies of jaw bone is a bacteria-induced inflammation at the apices of teeth with subsequent bone resorption that typically presents as a radiolucency in radiographs. Usually, corresponding clinical and radiographic findings correlate and allow for an accurate diagnosis. However, occasionally an unexpected and completely different diagnosis presents as documented in this case report. In a 55-year-old female patient, a radicular cyst was suspected in her right maxillary bone. The treatment plan included a cystectomy as well as apical surgery of the adjacent and root-canal filled teeth 15 and 16. However, the intraoperative finding absolutely did not fit a radicular cyst but rather a mucous retention cyst, as could be confirmed subsequently by histopathology. The diagnosis of a mucous retention cyst within the jaw bone is extraordinary and as such has never been described before in the literature.
颌骨最常见的病理状况之一是牙齿根尖处由细菌引起的炎症,随后出现骨质吸收,在X光片中通常表现为透射区。通常,相应的临床和X光表现相互关联,有助于做出准确诊断。然而,偶尔也会出现意想不到的完全不同的诊断结果,本病例报告就记录了这样一个情况。在一名55岁女性患者中,怀疑其右上颌骨存在根尖囊肿。治疗方案包括囊肿切除术以及对相邻的已进行根管充填的15号和16号牙齿进行根尖手术。然而,术中发现与根尖囊肿完全不符,而更像是黏液潴留囊肿,随后的组织病理学检查证实了这一点。颌骨内黏液潴留囊肿的诊断非常罕见,此前文献中从未有过描述。