Incidental finding of radiolucency

Chief Complaint A 49 y/o male presents with mild pain irt 47. An incidental finding shows radiolucency around 38. History Patient has a history of tobacco use. which he ceased 2 years ago. Clinical examination It shows no tenderness, swelling, expansion or pain. Lesion pushes on the alveolar canal but no neural deficit was detected. Diagnsis OPG is attached below. What is your opinion on diagnosis? Treatment Please advise management also.

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AS. PER. .... .O P G.... ..THE. UNILOCULAR. CYST. IS. ASSOCIATED. WITH. DEVELOPING.... ..IMPACTED. MOLAR.. AND IS. PRESENT. IN... ..*SALIVARY. GLAND. REGION*.. SO... SUGGESTIVE. OF... .. GLANDULAR. ODONTOGENIC CYST... ADVISABLE..... ..H. P. E.. .. BIOPSY.. MANAGEMENT... ...... IF. CONFIRMED... AS... GLANDULAR. ODONTOGENIC CYST.... THEN. ... ADVISABLE.... SINCE...SUCH. LESIONS. ARE. USUALLY. ...AGGRESSIVE. AND RECURRENCE. IS. VERY. COMMON... SO... 1. ..EXTRACTION. OF. IMPACTED MOLAR...WITH COMPLETE ENUCLEATION. AND. CURETTAGE. OF. THE. CYSTIC. REGION.... 2. .. PARENTERAL..( I . V )....ROUTE OF. MEDICATIONS.. A) ..BROAD SPECTRUM .. ANTIBIOTICS.. B)...... A. CORTICOSTEROID... ...DEXAMETHASONE C).&..ANTI INFLAMMATORY ANALGESIC .... D).....ANTACID.. 3. ..CLOSE. MONITORING AND FOLLOW. UP......

Dentigerous cyst wrt 38.Adv extraction wrt 48 and 38 surgical enunicleation of cyst, bone reconstruction might be anticipated as bone loss is extensive(extending to post border of mandible) making it more vulnerable to fracture.

It is a case of dentigerous cyst in relation to 38, and distoangular impaction of 48. I would recommend extraction of 3rd molars and complete enucleation of the cyst

OPG showing impacted molar 48due to which pain may be there & in relation to molar 38 cystic appearance is seen so need for extraction of 48& 38 is advisable.

Coronal type of Dentigerous cyst Management: enucleation of cyst n curettage along with surgical removal of involved tooth

28,38,48 extraction

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