A case report from alborz medical university_karaj_Iran

1. Reported by Maryam Jahangiri third year dentistry
student of Alborz medical sience university
Case report
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2. Patient’s history
A 32 years old man who is an athlete and had a surgical
experience of unerupthed canine from left mandibular
quadrant after a trauma around 12 years ago.
No smoking
No drug allergies
No systemic disease
No cardiovascular or respiratory deficiency
Low hearing ability(using)

3. Chief complain
when Patient went to dentist office for check up before
summer olympic ,the OPG was located huge lucency in
the past surgical area.so dentist refers him to dentistry
academic center of Alborz medical sience university.

4. Primary examination
After completing the file,first we observed the OPG which
patient brought with him self(OPG was for last month).
Then clinical examination showed a bridge from lateral
incisor to second premolar in left mandibular quadrant.
Beside the mandibular left central incisor had abnormal
color which could be a sign of necrotic teeth.
The patient bridge was not correct and after asking him it
was found that it’s work of a experimental dentist.
Before recommended any treatment plan,firstly we refered
patient to radiography office for taking PA from area.
This PA was important for final diagnosis because we need
studying the doubtful bridge base tooth & also probability
ossification of lucent area.

5. going-over the radiography
• Unilobular lucency
• Lesions at the apex of 31,41 and probabilit
y42

6. OPG

7. PA

8. I. Take biopsy for distinguishing the kind of lesions
II. Surgical operation for removing the lesion’s reason
III. Do endodontics processes
IV. Make a new bridge
Treatment plan

9. Differential diagnosis
Based on situations there was 2 probability diagnosis for t
his patient:
1-traumatic cyst
2-residual cyst
Total diagnosis was found after pathological studing

10. Pathological result

11. Thank you