Shah Sonalee J, Tandon Sarita, Ratnani Chandani, Sonwani Indu, Bishal Jayanti
Oral Pathology, Government Dental College, Raipur, IND.
Cureus. 2024 Jul 25;16(7):e65392. doi: 10.7759/cureus.65392. eCollection 2024 Jul.
This article is a discussion of two cases of young adults with lesions in similar locations in the anterior maxilla, i.e., the canine-to-canine region, similar history, and comparable radiology. Both cases were histologically diagnosed as calcifying odontogenic cysts. Case 1 was a male aged 28 years with diffuse, firm left malar area facial swelling with pain in associated teeth for a month. Intraorally, he had a gingivo-vestibular swelling also extending palatally in the anterior left maxillary region extending from the distal surface of the left maxillary central incisor to the mesial surface of the left maxillary canine. The overlying mucosa was normal in appearance. The radiograph showed a large unilocular radiolucency in the affected region. The lesion was excised followed by curettage and primary closure. Case 2 was a female aged 25 years with a lumpy mass and pain in associated teeth since one year in the left canine-premolar region with an external swelling in the left ala of the nose region that extended superiorly to the zygomatic arch. The color of the skin as well as the intraoral mucosa was normal, and an orthopantomogram (OPG)revealed a unilocular radiolucency in the left maxillary canine-premolar region with resorption of premolar roots. Treatment included surgical enucleation and bone curettage. Both cases have been in follow-up for about a year and have shown non-incidental healing.
本文讨论了两例年轻成人病例，他们上颌前部类似位置（即尖牙至尖牙区域）出现病变，病史相似，放射学表现具有可比性。两例病例经组织学诊断均为牙源性钙化囊肿。病例1为一名28岁男性，左侧颧骨区域面部弥漫性、质地坚硬的肿胀伴相关牙齿疼痛1个月。口腔内，他在左上颌前部区域有牙龈前庭肿胀，也向腭侧延伸，从左上颌中切牙远中面延伸至左上颌尖牙近中面。覆盖的黏膜外观正常。X线片显示患区有一个大的单房性透射区。病变被切除，随后进行刮治并一期缝合。病例2为一名25岁女性，自1年来在左尖牙-前磨牙区域有肿块及相关牙齿疼痛，左侧鼻翼区域有外部肿胀，向上延伸至颧弓。皮肤及口腔内黏膜颜色正常，全景片（OPG）显示左上颌尖牙-前磨牙区域有一个单房性透射区，前磨牙牙根有吸收。治疗包括手术摘除和骨刮治。两例病例均已随访约一年，显示愈合良好。
