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Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
Cyst enucleation by Dr. Anuja Aggarwal
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Cyst enucleation by Dr. Anuja Aggarwal

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  1.  
  2. <ul><li>PATIENT(IDENTIFICATION DATA) </li></ul><ul><li>PATIENT HISTORY </li></ul><ul><li>CLINICAL EXAMINATION </li></ul><ul><li>INVESTIGATION </li></ul><ul><li>TREATMENT PLAN </li></ul><ul><li>TREATMENT DONE </li></ul>
  3. <ul><li>Name : Mr. Man Singh </li></ul><ul><li>Age : 35 year </li></ul><ul><li>Sex : Male </li></ul><ul><li>Marital status : Married </li></ul><ul><li>Address : Arthla </li></ul><ul><li>Regn no .:79051 </li></ul><ul><li>Date :17/06/2010 </li></ul>
  4. <ul><li>PATIENT(IDENTIFICATION DATA) </li></ul><ul><li>PATIENT HISTORY </li></ul><ul><li>CLINICAL EXAMINATION </li></ul><ul><li>INVESTIGATION </li></ul><ul><li>TREATMENT PLAN </li></ul><ul><li>TREATMENT DONE </li></ul>
  5. <ul><li>Chief Complain : Patient complain of swelling in the upper front tooth region. </li></ul><ul><li>Past Dental History : patient first dental visit. </li></ul><ul><li>Medical History : no relevant history. </li></ul>
  6. <ul><li>PATIENT(IDENTIFICATION DATA) </li></ul><ul><li>PATIENT HISTORY </li></ul><ul><li>CLINICAL EXAMINATION </li></ul><ul><li>INVESTIGATION </li></ul><ul><li>TREATMENT PLAN </li></ul><ul><li>TREATMENT DONE </li></ul>
  7. <ul><li>Extraoral Examination </li></ul><ul><li>There was a mild swelling on the left side of her face, with obliteration of the nasolabial and nasomaxillary,groove but with normal-looking overlying skin. </li></ul>
  8. <ul><li>Dental Examination: </li></ul><ul><li>No. of teeth: 31 </li></ul><ul><li>Missing tooth:18(FDI) </li></ul><ul><li>Carious tooth: 22 </li></ul><ul><li>Mobile teeth: 22&23(grade I) </li></ul><ul><li>Occlusion: Angle’s class I molar relationship </li></ul><ul><li>Oral hygiene: Fair </li></ul>
  9. <ul><li>Examination Of Swelling : </li></ul><ul><li>Swelling of dentoalveolar origin extending from 13 to 24 on maxillary labial aspect. </li></ul>
  10. <ul><li>PATIENT(IDENTIFICATION DATA) </li></ul><ul><li>PATIENT HISTORY </li></ul><ul><li>CLINICAL EXAMINATION </li></ul><ul><li>INVESTIGATION </li></ul><ul><li>TREATMENT PLAN </li></ul><ul><li>TREATMENT DONE </li></ul>
  11. <ul><li>Haematology: </li></ul>
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  16. <ul><li>PATIENT(IDENTIFICATION DATA) </li></ul><ul><li>PATIENT HISTORY </li></ul><ul><li>CLINICAL EXAMINATION </li></ul><ul><li>INVESTIGATION </li></ul><ul><li>TREATMENT PLAN </li></ul><ul><li>TREATMENT DONE </li></ul>
  17. <ul><li>Oral prophylaxis </li></ul><ul><li>Surgical Enucleation of the cyst </li></ul><ul><li>Extraction of the tooth no.22 </li></ul><ul><li>Endodontic treatment with 12,11,21,23. </li></ul><ul><li>Prosthesis for the partial edentulous space. </li></ul>
  18. <ul><li>PATIENT(IDENTIFICATION DATA) </li></ul><ul><li>PATIENT HISTORY </li></ul><ul><li>CLINICAL EXAMINATION </li></ul><ul><li>INVESTIGATION </li></ul><ul><li>TREATMENT PLAN </li></ul><ul><li>TREATMENT DONE </li></ul>
  19. <ul><li>Oral Prophylaxis </li></ul><ul><li>To remove all irritant from the periodontium like supra- and sub-gingival calculus, plauqe, extrinsic stains. </li></ul>
  20. <ul><li>Administration Of Local Anestesia </li></ul><ul><li>lignocaine 2% with adrenaline 1:200,000 is used. </li></ul><ul><li>Nerve block given are: </li></ul><ul><li>Right and left infraorbital </li></ul><ul><li>Nasopalatine </li></ul><ul><li>Right and left greater palatine </li></ul><ul><li>Right and left posterior superior nerve block. </li></ul>
  21. <ul><li>Incision </li></ul><ul><li>With help of no. 15 blade </li></ul><ul><li>Firstly crevicular incision made on the teeth 14, 13, 12, 11, 21, 22, 23, 24. </li></ul><ul><li>Horizontal incison made then 2 vertical incision from teeth 14 and 24 to the mucobuccal fold. </li></ul>
  22. <ul><li>Elevation Of Flap </li></ul><ul><li>Flap raised with help of periosteal elevator. </li></ul><ul><li>It is a Trapezoidal flap </li></ul><ul><li>It has a broad based flap with the vestibular portion being wider than the sulcular portion , it provide a better blood supply to the tissue. </li></ul>
  23. <ul><li>Aspiration Of Fluid Content Of The Cyst </li></ul><ul><li>Aspiration provides: </li></ul><ul><li>Fluid for histopathological examination </li></ul><ul><li>To shrink the sac. </li></ul><ul><li>Aspiration done with a syringe. </li></ul>
  24. <ul><li>Bone Removal </li></ul><ul><li>All thin, resorbed, soften, infected bone removed with help of burs. </li></ul><ul><li>Bone removal started from the apical region of the 22. </li></ul><ul><li>Bone removal extend from 12 to 23. </li></ul><ul><li>While bone removal care has been taken to preserve as much as bone and root of the teeth. </li></ul>
  25. <ul><li>Enucleation Of The Cyst </li></ul><ul><li>Cyst has been removed entirely without tearing and puncturing </li></ul><ul><li>A cyst lining is adherent to cavity, a piece of rolled gauge is hold with a hemostat and inserted between cavity and lining. </li></ul>Cystic Cavity After Enucleation
  26. <ul><li>Extraction Of Tooth No.22 </li></ul><ul><li>Extraction of the teeth is carried of because of the main etiological factor for causing the cyst. </li></ul>
  27. <ul><li>Irrigation And Inspecting The Cavity </li></ul><ul><li>Cavity is thoroughly irrigated with saline and Betadine. </li></ul><ul><li>And inspected for any other treatment </li></ul>
  28. <ul><li>Suturing </li></ul><ul><li>Reposition the flap. </li></ul><ul><li>Suturing done with the black braided silk suture. </li></ul><ul><li>Vertical mattress interrupted sutures given </li></ul>
  29. <ul><li>Cyst Lining </li></ul><ul><li>This is send to the department of oral pathology for Histopathological examination, </li></ul>
  30. Thanks for your attention….

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