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On 21st Feb 2007, Marcela wrote in ROOTS:
Hi folks, Yesterday I did the extractions of the unrestored rest of
roots and removed this cyst in the 23 years old boy patient. I am
very happy because I know that the cyst was completely extracted.
I send all the pictures attached.
Although I had stuff (bone), I "couldnīt" fill the cavity with anything
because the patient couldnīt affort that (the surgery was done under
the NHS). Which what should exactly fill this hole??? All comments are
very welcome - Marcela
hi Marcela. good work. HI Marcela,
thanks for the radiographs.. however i am unable to make out what cyst
it is...what du think.? well, i should say tat his oral hygiene s very
poor indeed !! see those adjacent teeth !!! - Joseph
Are you serious? ;-) Canīt you see the cyst in ULQ? Between UL1-UL2
Look in this OPG - Marcela
Sorry Marcela, you cannot diagnose a "cyst" reliably via radiograph.
The only way that you can confirm the cystic nature of the tissue
removed is by having it biopsied. You DID have it biopsied, did you not?
"It is impossible to diagnose periapical lesions with any degree of
accuracy unless a biopsy is taken and the tissue is examined under
the microscope, even though the incidence of cysts is greater for
larger lesions." ( Weine: Endodontic Therapy 4th Ed.)
"apical periodontitis cannot be differentially diagnosed into cystic
and noncystic lesions based on radiographs alone". Pathways of the
pulp 8th Ed. p. 492
Biopsy analysis should be standard protocol for all tissue removed
from the body - especially when a lesion like that can be easily
enucleated. - Rob K
Dear Rob, I already knew that but in this case I diagnosed the cyst
via "my own eyes". I would have like to send it to a pathologist but
we havenīt got any availabe. - Marcela