Case report/clinical techniqueAmeloblastoma Suggesting Large Apical Periodontitis
Section snippets
Case Report
A 54-year-old male patient was referred to a general practitioner for routine dental treatment. The patient’s dental history indicated there was no history of chronic orofacial pain or trauma. The patient complained of a low intensity discomfort to pressure and palpation in periapical area of teeth #23–24. The radiographic analysis revealed a well-defined radiolucent area approximately 2.0 cm in diameter in the periapical area of teeth #22–24, with a lateral shift in the position of the teeth (
Discussion
The most prevalent cause of periapical lesions is associated with microorganisms from infected root canal systems (3). However, differential diagnoses of periapical lesions should consider lesions of nonendodontic origin, including odontogenic cysts, periapical cemento-osseous dysplasias, giant cell lesions, ameloblastomas, and lymphomas (6, 7, 8). These lesions require distinct treatment regimens, exhibit different prognoses, and should be considered in establishing the differential diagnosis
Conclusions
Periapical lesions generally present etiologic factors correlated with microorganisms from necrotic pulp. However, diseases from nonendodontic origins associated with tooth apex should be considered in differential diagnosis as ameloblastoma.
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2020, Journal of EndodonticsIntraoral mass in the posterior maxillary vestibule
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Inflammatory Myofibroblastic Tumor Mimicking Apical Periodontitis
2015, Journal of Endodontics10-year follow-up of calcifying odontogenic cyst in the periapical region of vital maxillary central incisor
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2014, Journal of EndodonticsCitation Excerpt :Clinical and radiographic characteristics, medical and dental history, pulp vitality testing, and aspiration results are important components of a thorough endodontic diagnosis (2). However, when signs and symptoms are suggestive of nonendodontic lesions, biopsies and subsequent microscopic examinations are mandatory (1–7). CGCLs are non-neoplastic lesions of unknown etiology and variable dimensions and rate of development (1, 3, 10–13).