#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Misdiagnosis of Nasopalatine Duct Cyst


Authors: R. Žižka 1;  J. Šedý 2,3;  M. Vlna 4;  K. Čížková 5;  Z. Tauber 5
Authors‘ workplace: Czech Educational and Dental Research Innovative Group, Brno 1;  Ústav normální anatomie LF UP, Olomouc 2;  Privátní stomatologická praxe, Praha 3;  Privátní stomatologická praxe, Skalka nad Váhom, Slovenská republika 4;  Ústav histologie a embryologie LF UP, Olomouc 5
Published in: Česká stomatologie / Praktické zubní lékařství, ročník 118, 2018, 4, s. 84-89
Category: Case Report

Overview

Introduction and aim:

Nonendodontic lesions can be misdiagnosed as pathoses of endodontic origin. One of the most common nonodontogenic lesions of the oral cavity is the nasopalatine duct cyst, which is difficult to distinguish from periapical lesion. The aim of this case report is to familiarize readers with differential diagnosis of this disease.

Case report:

The patient who had suffered lateral luxation of tooth 11 aproximately 25 years ago presents with palatal abscess of premaxila. After non surgical retreatment of tooth 11 the symptoms disappeared, but the tooth become symptomatic two years after. After CBCT scan was taken the nasopalatine duct cyst was diagnosed and after surgical treatment histopathologically confirmed.

Discussion:

The possible predisposition factors, radiological signs and differential diagnosis is disccused.

Conclusion:

The understanding of anatomy, the use of appropriate diagnostic tests (including CBCT scan) to distinguish endodontic lesions from nonendodontitic pathoses are essential for accurate differential diagnosis and treatment.

Keywords:

nasopalatine duct cyst – periapical lesion – endodontic lesion – nonodontogenic cyst


Sources

1. Abrams, A. M., Howell, F. V., Bullock, W. K.: Nasopalatine cysts. Oral. Surg. Oral. Med. Oral. Pathol., roč. 16, 1963, č. 3, s. 306–332.

2. Česká endodontická společnost. Závěrečný výplachový protokol – ČES doporučuje, 2012. http://www.endodont.cz/data/blob-rename/page-application_pdf-20180215102931-6870-zaverecny-vyplachovy-protokol-ces-doporucuje-2012.pdf/

3. Daley, T. D., Wysocki, G. P., Pringle, G. A.: Relative incidence of odontogenic tumors and oral and jaw cysts in a Canadian population. Oral. Surg. Oral. Med. Oral. Pathol., roč. 77, 1994, č. 3, s. 276–280.

4. Faitaroni, L. A., Bueno, M. R., Carvalhoza, A. A., et al.: Differential diagnosis of apical periodontitis and nasopalatine duct cyst. J. Endod., roč. 37, 2011, č. 3, s. 403–410.

5. Hilfer, P. B., Bergeron, B. E., Ozgul, E. S., Wong, D. K.: Misdiagnosis of a nasopalatine duct cyst: a case report. J. Endod., roč. 39, 2013, č. 9, s. 1185–1188.

6. Šedý, J.: Kompendium stomatologie I. 1. vyd. Praha, Triton, 2012. s. 1196, ISBN 978-80-7387-543-5.

7. Moss, H. D., Hellstein, J. W., Johnson. J. D.: Endodontic considerations of the nasopalatine duct region. J. Endod., roč. 26, 2000, č. 2, s. 107–110.

8. Sirotheau Correa Pontes, F., Paiva Fonseca, F., Souza de Jesus, A., et al.: Nonendodontic lesions misdiagnosed as apical periodontitis lesions: series of case reports and review of literature. J. Endod., roč. 40, 2014, č. 1, s. 16–27.

9. Suter, V. G., Jacobs, R., Brucker, M. R., et al.: Evaluation of a possible association between a history of dentoalveolar injury and the shape and size of the nasopalatine canal. Clin. Oral. Investig., roč. 20, 2016, č. 3, s. 553–561.

10. Tsuneki, M., Maruyama, S., Yamazaki, M., et al.: Inflammatory histopathogenesis of nasopalatine duct cyst: a clinicopathological study of 41 cases. Oral Dis., roč. 19, 2013, č. 4, s. 415–424.

Labels
Maxillofacial surgery Orthodontics Dental medicine
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#