Radiolucency in anterior region

Chief Complaint A 41 y-o male came with the complaint of swelling on anterior lingual side and irregular maxillary anteriors which were fine before. History Past medical and dental history unremarkable. Investigations OPG shows a large, unilocular and well-demarcated radiolucency in the midline of maxilla & lateral incisors. Diagnosis What is this swelling? Treatment Advise management also.

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? ODONTOGENIC PATHOLOGY.. ? MALIGNANCY .. NEED'S.. HPE STUDY.. MRI STUDY..

Ask pt for history of trauma for anterior teeth, if present classic radicular cyst .. do pulp vitality test and do RCT followed by enucleation and apisectomy.. 11,12,21,22 If no h/o trauma then suspect AOT, but follow same treatment as above

P/D- Nasopalatine cyst; take an occlusal view radiograph of maxilla for better visualisation D/D- adenomatoid odontogenic tumor, squaomous odontogenic tumor Rx- Enucleation.

Signs and symtoms?

A nasopalatine cyst .... Go for Rct of the the Anteriors and go for surgical removal of the cyst

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