Multimodular Assessment of a Traumatic Bone Cyst Overlapped with Apical Periodontitis
Traumatic bone cyst (TBC), a “pseudocyst” that usually affects long bones, is a rare lesion among cystic lesions in the jaws. The most commonly affected site is the posterior mandible. Most of the time, TBC is asymptomatic and discovered during routine radiographic examination. The treatment recomme...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2020/8829305 |
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| author | Davide Musu Giulia Bardini Hagay Shemesh Claudia Dettori Elisabetta Cotti |
| author_facet | Davide Musu Giulia Bardini Hagay Shemesh Claudia Dettori Elisabetta Cotti |
| author_sort | Davide Musu |
| collection | DOAJ |
| description | Traumatic bone cyst (TBC), a “pseudocyst” that usually affects long bones, is a rare lesion among cystic lesions in the jaws. The most commonly affected site is the posterior mandible. Most of the time, TBC is asymptomatic and discovered during routine radiographic examination. The treatment recommended for TBC is surgical exploration followed by curettage of the bony walls, which also serves as a diagnostic procedure. A 27-year-old Caucasian male with a noncontributory medical history was referred to our department for the endodontic evaluation of the mandibular right first and second molars, which were connected to an extensive asymptomatic osteolytic lesion. A multimodular diagnostic assessment involving CBCT imaging, ultrasound, and histopathologic examination led to a definite diagnosis of a TBC overlapping with apical periodontitis (AP). Subsequently, a multidisciplinary treatment approach was performed, including surgical excision and biopsy of the lesion, endodontic retreatment of the right mandibular first molar, and postsurgical root canal treatment of the second molar. During the follow-up period of five years, the patient was reassessed periodically once a year and showed, in the absence of signs and symptoms, progressive healing of the affected area. The present article reports a case following the CARE guidelines of a TBC combined with AP where a multimodular diagnostic assessment was performed and discusses the possible pathogenetic mechanisms involved in its generation. |
| format | Article |
| id | doaj-art-14a3f9ba606e4324ad0eb87180baeffd |
| institution | Kabale University |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-14a3f9ba606e4324ad0eb87180baeffd2025-08-20T03:54:29ZengWileyCase Reports in Dentistry2090-64472090-64552020-01-01202010.1155/2020/88293058829305Multimodular Assessment of a Traumatic Bone Cyst Overlapped with Apical PeriodontitisDavide Musu0Giulia Bardini1Hagay Shemesh2Claudia Dettori3Elisabetta Cotti4Department of Conservative Dentistry and Endodontics, University of Cagliari, ItalyDepartment of Conservative Dentistry and Endodontics, University of Cagliari, ItalyDepartment of Endodontology, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, NetherlandsDepartment of Conservative Dentistry and Endodontics, University of Cagliari, ItalyDepartment of Conservative Dentistry and Endodontics, University of Cagliari, ItalyTraumatic bone cyst (TBC), a “pseudocyst” that usually affects long bones, is a rare lesion among cystic lesions in the jaws. The most commonly affected site is the posterior mandible. Most of the time, TBC is asymptomatic and discovered during routine radiographic examination. The treatment recommended for TBC is surgical exploration followed by curettage of the bony walls, which also serves as a diagnostic procedure. A 27-year-old Caucasian male with a noncontributory medical history was referred to our department for the endodontic evaluation of the mandibular right first and second molars, which were connected to an extensive asymptomatic osteolytic lesion. A multimodular diagnostic assessment involving CBCT imaging, ultrasound, and histopathologic examination led to a definite diagnosis of a TBC overlapping with apical periodontitis (AP). Subsequently, a multidisciplinary treatment approach was performed, including surgical excision and biopsy of the lesion, endodontic retreatment of the right mandibular first molar, and postsurgical root canal treatment of the second molar. During the follow-up period of five years, the patient was reassessed periodically once a year and showed, in the absence of signs and symptoms, progressive healing of the affected area. The present article reports a case following the CARE guidelines of a TBC combined with AP where a multimodular diagnostic assessment was performed and discusses the possible pathogenetic mechanisms involved in its generation.http://dx.doi.org/10.1155/2020/8829305 |
| spellingShingle | Davide Musu Giulia Bardini Hagay Shemesh Claudia Dettori Elisabetta Cotti Multimodular Assessment of a Traumatic Bone Cyst Overlapped with Apical Periodontitis Case Reports in Dentistry |
| title | Multimodular Assessment of a Traumatic Bone Cyst Overlapped with Apical Periodontitis |
| title_full | Multimodular Assessment of a Traumatic Bone Cyst Overlapped with Apical Periodontitis |
| title_fullStr | Multimodular Assessment of a Traumatic Bone Cyst Overlapped with Apical Periodontitis |
| title_full_unstemmed | Multimodular Assessment of a Traumatic Bone Cyst Overlapped with Apical Periodontitis |
| title_short | Multimodular Assessment of a Traumatic Bone Cyst Overlapped with Apical Periodontitis |
| title_sort | multimodular assessment of a traumatic bone cyst overlapped with apical periodontitis |
| url | http://dx.doi.org/10.1155/2020/8829305 |
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