Clinicopathologic conference: Trismus following dental treatment (original) (raw)
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Revista Facultad de Odontología
Los quistes odontogénicos suelen ser intraóseos y se clasifican en quistes del desarrollo e inflamatorios. Los quistes residuales son de tipo inflamatorio y resultan de la extracción de un diente con un quiste radicular, pero sin remover los remanentes de la lesión en el mismo procedimiento quirúrgico. Se localizan principalmente en el maxilar, muestran ligera predilección por los hombres y generalmente son asintomáticos. Se presenta el caso de un hombre de 64 años de edad, quien consulta por presentar un aumento de volumen en la zona edéntula anterior del maxilar, años después de la exodoncia de los órganos dentarios 11 y 12. El tratamiento realizado consistió en osteotomía de la pared vestibular, enucleación y curetaje del quiste residual, usando un colgajo de Newman de los dientes 13 a 23. Se realizaron controles posoperatorios periódicamente y se observó buena cicatrización.
Archives of pathology & laboratory medicine, 2003
complaining of a painful enlargement of the right mandible. Clinical examination revealed an ill-defined, spherical swelling, measuring approximately 2 cm in diameter, located in the right paramedian region of the mandible. The mass was firm, fixed, and covered by inflamed mucosa. The teeth in the quadrant showed a vital response to pulp testing. There were no palpable cervical lymph nodes. After a 5-day course of antibiotics, a radiographic examination was performed. It showed a predominantly radiopaque lesion merging imperceptibly with surrounding normal bone (Figure 1), located in the basal and alveolar portions of the mandible, involving the apical region of the second incisor, canine, and first premolar. The teeth were extracted, and the mass was surgically removed.