Cyst enucleation by Dr. Anuja Aggarwal

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Cyst enucleation by Dr. Anuja Aggarwal

  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>
  2. 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>
  3. 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>
  4. 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>
  5. 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>
  6. 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>
  7. 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>
  8. 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>
  9. 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>
  10. 11. <ul><li>Haematology: </li></ul>
  11. 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>
  12. 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>
  13. 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>
  14. 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>
  15. 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>
  16. 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>
  17. 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>
  18. 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>
  19. 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>
  20. 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
  21. 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>
  22. 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>
  23. 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>
  24. 29. <ul><li>Cyst Lining </li></ul><ul><li>This is send to the department of oral pathology for Histopathological examination, </li></ul>
  25. 30. Thanks for your attention….

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